Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,708.75 / $5,675.50	Facility		$100.00	$1,708.75	$5,675.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.36 / $686.27 / $1,413.16	Professional		$486.36	$686.27	$1,413.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.89 / $512.89 / $512.89	Professional		$512.89	$512.89	$512.89
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 $512.12 / $867.67 / $1,249.83	Professional		$512.12	$867.67	$1,249.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.10 / $2,000.36 / $2,070.38	Facility		$882.10	$2,000.36	$2,070.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.93 / $1,269.00 / $2,449.33	Professional		$727.93	$1,269.00	$2,449.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $635.03 / $1,195.18 / $2,419.17	Professional		$635.03	$1,195.18	$2,419.17
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $970.41 / $1,413.72 / $2,762.03	Professional		$970.41	$1,413.72	$2,762.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $446.12 / $652.91 / $1,029.15	Professional		$446.12	$652.91	$1,029.15