Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,174.16 / $6,067.00	Facility		$100.00	$1,174.16	$6,067.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,560.03 / $4,560.03 / $4,560.03	Facility	50	$4,560.03	$4,560.03	$4,560.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $205.68 / $457.49	Professional		$164.98	$205.68	$457.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $465.81 / $465.81 / $465.81	Professional	50	$465.81	$465.81	$465.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,096.76 / $1,096.76 / $1,096.76	Professional	50	$1,096.76	$1,096.76	$1,096.76
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 $161.96 / $257.48 / $376.06	Professional		$161.96	$257.48	$376.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $242.94 / $386.22 / $564.09	Professional	50	$242.94	$386.22	$564.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $424.63 / $703.93	Professional		$225.00	$424.63	$703.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $447.03 / $909.78	Professional		$203.78	$447.03	$909.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $485.07 / $903.53	Professional		$346.40	$485.07	$903.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $221.11 / $359.82	Professional		$135.97	$221.11	$359.82