Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.58 / $1,780.59 / $6,067.00	Facility		$344.58	$1,780.59	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.46 / $1,098.23 / $1,780.60	Professional		$211.46	$1,098.23	$1,780.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $398.21 / $398.21 / $398.21	Professional	50	$398.21	$398.21	$398.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.02 / $854.30 / $3,155.76	Professional		$392.02	$854.30	$3,155.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $588.03 / $1,281.45 / $4,733.64	Professional	50	$588.03	$1,281.45	$4,733.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.77 / $1,348.38 / $4,345.71	Professional		$455.77	$1,348.38	$4,345.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $388.75 / $1,734.36 / $5,619.80	Professional		$388.75	$1,734.36	$5,619.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,660.00 / $4,660.00 / $12,399.00	Facility		$4,660.00	$4,660.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,928.11 / $2,633.45 / $5,468.89	Professional		$1,928.11	$2,633.45	$5,468.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $1,380.45 / $1,928.79	Professional		$270.70	$1,380.45	$1,928.79