Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.41 / $1,972.31 / $9,859.00	Facility		$376.41	$1,972.31	$9,859.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,582.30 / $17,582.30 / $17,582.30	Facility	50	$17,582.30	$17,582.30	$17,582.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.39 / $1,341.07 / $2,001.15	Professional		$237.39	$1,341.07	$2,001.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $172.73 / $175.66	Professional		$147.41	$172.73	$175.66
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 $438.53 / $952.50 / $3,796.71	Professional		$438.53	$952.50	$3,796.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $657.79 / $1,428.75 / $5,695.07	Professional	50	$657.79	$1,428.75	$5,695.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.17 / $1,504.84 / $5,251.57	Professional		$506.17	$1,504.84	$5,251.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $433.45 / $2,060.13 / $6,675.40	Professional		$433.45	$2,060.13	$6,675.40
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 $2,245.89 / $3,246.54 / $9,130.29	Professional		$2,245.89	$3,246.54	$9,130.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $1,653.56 / $2,229.58	Professional		$303.42	$1,653.56	$2,229.58