Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,995.26 / $10,715.19	Facility		$645.65	$1,995.26	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,548.82	Professional		$512.86	$724.44	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $6,309.57	Facility		$3,467.37	$4,677.35	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,174.90	Professional		$436.52	$851.14	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,995.26	Professional		$616.60	$1,000.00	$1,995.26
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $1,659.59	Professional		$549.54	$933.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,698.24	Professional		$575.44	$933.25	$1,698.24
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $851.14	Facility		$524.81	$524.81	$851.14