Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,424.98 / $9,859.00	Facility		$100.00	$2,424.98	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.83 / $709.30 / $1,196.95	Professional		$521.83	$709.30	$1,196.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,334.70 / $1,334.70 / $1,334.70	Professional		$1,334.70	$1,334.70	$1,334.70
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 $558.29 / $957.38 / $1,481.36	Professional		$558.29	$957.38	$1,481.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $2,472.40 / $2,558.92	Facility		$642.04	$2,472.40	$2,558.92
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.46 / $1,097.07 / $1,672.90	Professional		$757.46	$1,097.07	$1,672.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $639.14 / $1,048.57 / $1,972.71	Professional		$639.14	$1,048.57	$1,972.71
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 $697.69 / $975.24 / $1,692.55	Professional		$697.69	$975.24	$1,692.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $480.42 / $588.13 / $842.26	Professional		$480.42	$588.13	$842.26