Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,266.43 / $2,341.64	Facility		$100.00	$1,266.43	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $443.84 / $614.76	Professional		$265.45	$443.84	$614.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.55 / $198.55 / $198.55	Professional		$198.55	$198.55	$198.55
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 $172.72 / $289.89 / $457.45	Professional		$172.72	$289.89	$457.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $1,751.69 / $1,812.99	Facility		$304.76	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.76 / $450.81 / $1,034.33	Professional		$250.76	$450.81	$1,034.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $215.45 / $405.50 / $810.98	Professional		$215.45	$405.50	$810.98
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 $581.40 / $774.09 / $1,525.33	Professional		$581.40	$774.09	$1,525.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $307.95 / $455.39 / $673.95	Professional		$307.95	$455.39	$673.95