Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,584.89 / $6,025.60	Facility		$398.11	$1,584.89	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $4,073.80 / $5,888.44	Facility	50	$2,089.30	$4,073.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $758.58	Professional		$186.21	$354.81	$758.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $1,698.24 / $3,630.78	Professional	50	$141.25	$1,698.24	$3,630.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	50	$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $478.63	Professional		$154.88	$323.59	$478.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $501.19 / $724.44	Professional	50	$229.09	$501.19	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $891.25	Professional		$229.09	$416.87	$891.25
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $741.31	Professional		$186.21	$354.81	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $954.99	Professional		$245.47	$416.87	$954.99