Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $651.71 / $6,067.00	Facility		$100.00	$651.71	$6,067.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $150.36 / $362.28 / $779.37	Facility	52	$150.36	$362.28	$779.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $298.72 / $724.57	Professional		$169.06	$298.72	$724.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.62 / $274.62 / $274.62	Professional		$274.62	$274.62	$274.62
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 $211.10 / $355.16 / $662.52	Professional		$211.10	$355.16	$662.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.01 / $514.48 / $1,015.42	Professional		$244.01	$514.48	$1,015.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $217.28 / $540.17 / $1,254.94	Professional		$217.28	$540.17	$1,254.94
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 $406.59 / $641.87 / $1,242.65	Professional		$406.59	$641.87	$1,242.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $291.50 / $458.75	Professional		$150.38	$291.50	$458.75