Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,242.40 / $2,678.80	Facility		$100.00	$1,242.40	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $453.97 / $702.66	Professional		$312.95	$453.97	$702.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $456.02 / $456.02 / $456.02	Professional		$456.02	$456.02	$456.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.23 / $551.83 / $751.45	Professional		$331.23	$551.83	$751.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.65 / $2,000.36 / $2,070.38	Facility		$571.65	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.76 / $722.25 / $1,357.62	Professional		$456.76	$722.25	$1,357.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $413.92 / $752.24 / $1,349.12	Professional		$413.92	$752.24	$1,349.12
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.24 / $736.16 / $1,430.44	Professional		$510.24	$736.16	$1,430.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $291.50 / $408.40 / $616.49	Professional		$291.50	$408.40	$616.49