Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $202.98 / $1,846.11	Professional		$83.45	$202.98	$1,846.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,133.41 / $1,133.41 / $1,133.41	Professional		$1,133.41	$1,133.41	$1,133.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $284.57 / $2,430.25	Professional		$143.69	$284.57	$2,430.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $215.53 / $426.85 / $3,645.37	Professional	50	$215.53	$426.85	$3,645.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $484.72 / $4,288.55	Professional		$240.52	$484.72	$4,288.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $1,354.56 / $4,180.85	Professional		$188.00	$1,354.56	$4,180.85
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,093.82 / $2,684.18 / $5,814.31	Professional		$2,093.82	$2,684.18	$5,814.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $1,237.00 / $1,855.50	Professional		$102.32	$1,237.00	$1,855.50