Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $2,619.58 / $9,137.45	Facility		$746.73	$2,619.58	$9,137.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.79 / $683.60 / $1,065.08	Professional		$502.79	$683.60	$1,065.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $542.70 / $786.92 / $1,287.28	Professional		$542.70	$786.92	$1,287.28
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 $538.25 / $922.99 / $1,375.80	Professional		$538.25	$922.99	$1,375.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.99 / $2,472.40 / $2,558.92	Facility		$618.99	$2,472.40	$2,558.92
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $61.52	Facility	AS	$61.52	$61.52	$61.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.16 / $1,052.47 / $1,611.52	Professional		$731.16	$1,052.47	$1,611.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $616.17 / $1,010.90 / $1,901.84	Professional		$616.17	$1,010.90	$1,901.84
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 $649.46 / $889.51 / $3,494.98	Professional		$649.46	$889.51	$3,494.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $458.06 / $549.66 / $812.05	Professional		$458.06	$549.66	$812.05