Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,746.37 / $4,513.85	Facility		$100.00	$1,746.37	$4,513.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.86 / $0.86 / $0.86	Facility	50	$0.86	$0.86	$0.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.41 / $526.44 / $979.73	Professional		$468.41	$526.44	$979.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $569.54 / $569.54 / $569.54	Professional		$569.54	$569.54	$569.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.69 / $879.17 / $1,360.35	Professional		$512.69	$879.17	$1,360.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.59 / $5,257.46 / $5,441.47	Facility		$589.59	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.54 / $979.23 / $1,529.85	Professional		$637.54	$979.23	$1,529.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $586.92 / $962.92 / $1,811.56	Professional		$586.92	$962.92	$1,811.56
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 $589.67 / $837.48 / $1,502.09	Professional		$589.67	$837.48	$1,502.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $404.85 / $485.82 / $766.79	Professional		$404.85	$485.82	$766.79