Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $1,204.73 / $7,746.70	Facility		$132.00	$1,204.73	$7,746.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.05 / $279.02 / $602.37	Facility	52	$115.05	$279.02	$602.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $252.88 / $531.85	Professional		$113.36	$252.88	$531.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $147.00 / $147.00	Professional		$147.00	$147.00	$147.00
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 $161.04 / $254.00 / $461.60	Professional		$161.04	$254.00	$461.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.82 / $360.21 / $694.08	Professional		$185.82	$360.21	$694.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $409.56 / $874.34	Professional		$166.24	$409.56	$874.34
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 $322.77 / $473.94 / $868.34	Professional		$322.77	$473.94	$868.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $200.03 / $359.88	Professional		$115.14	$200.03	$359.88