Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.60 / $2,999.00 / $9,859.00	Facility		$1,250.60	$2,999.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.67 / $1,250.60 / $1,992.80	Professional		$972.67	$1,250.60	$1,992.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $1,302.67 / $3,470.05	Professional		$155.34	$1,302.67	$3,470.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.29 / $1,801.05 / $2,684.64	Professional		$1,050.29	$1,801.05	$2,684.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.14 / $2,862.32 / $2,962.50	Facility		$1,211.14	$2,862.32	$2,962.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.39 / $2,017.69 / $3,152.23	Professional		$1,411.39	$2,017.69	$3,152.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,202.35 / $1,972.59 / $3,711.08	Professional		$1,202.35	$1,972.59	$3,711.08
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.97 / $1,698.77 / $3,223.41	Professional		$1,329.97	$1,698.77	$3,223.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $844.17 / $1,013.00 / $1,598.86	Professional		$844.17	$1,013.00	$1,598.86