Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $865.15 / $6,067.00	Facility		$100.00	$865.15	$6,067.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $188.95 / $188.95 / $1,068.82	Facility	52	$188.95	$188.95	$1,068.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $546.58 / $961.03	Professional		$213.69	$546.58	$961.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $690.18	Professional		$690.18	$690.18	$690.18
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 $266.58 / $465.62 / $2,154.71	Professional		$266.58	$465.62	$2,154.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.19 / $903.45 / $3,482.05	Professional		$300.19	$903.45	$3,482.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $1,322.34 / $4,081.40	Professional		$273.39	$1,322.34	$4,081.40
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,469.18 / $1,917.69 / $3,768.35	Professional		$1,469.18	$1,917.69	$3,768.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $189.43 / $332.58 / $1,250.65	Professional		$189.43	$332.58	$1,250.65