Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.03 / $4,075.01 / $4,862.12	Facility		$1,075.03	$4,075.01	$4,862.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $635.80 / $1,400.94	Professional		$176.31	$635.80	$1,400.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $116.96 / $233.92	Professional		$116.96	$116.96	$233.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $651.17 / $1,590.40	Professional		$306.06	$651.17	$1,590.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $459.09 / $962.06 / $2,385.61	Professional	50	$459.09	$962.06	$2,385.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.95 / $729.41 / $2,461.94	Professional		$345.95	$729.41	$2,461.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $291.86 / $880.94 / $2,495.35	Professional		$291.86	$880.94	$2,495.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.94 / $1,661.23 / $3,387.23	Professional		$880.94	$1,661.23	$3,387.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $216.01 / $694.89 / $1,225.79	Professional		$216.01	$694.89	$1,225.79