Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.81 / $2,210.98 / $7,649.86	Facility		$362.81	$2,210.98	$7,649.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.45 / $1,141.54 / $2,210.98	Professional		$209.45	$1,141.54	$2,210.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $585.77 / $663.93 / $921.55	Professional		$585.77	$663.93	$921.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $204.67 / $204.67 / $204.67	Professional	50	$204.67	$204.67	$204.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.88 / $777.52 / $2,655.34	Professional		$360.88	$777.52	$2,655.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $541.32 / $1,135.44 / $3,983.02	Professional	50	$541.32	$1,135.44	$3,983.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.40 / $974.64 / $4,220.33	Professional		$408.40	$974.64	$4,220.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $344.46 / $1,147.53 / $4,247.03	Professional		$344.46	$1,147.53	$4,247.03
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 $1,611.00 / $3,099.79 / $8,557.07	Professional		$1,611.00	$3,099.79	$8,557.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $1,233.53 / $2,138.92	Professional		$257.60	$1,233.53	$2,138.92