Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.23 / $2,077.80 / $6,886.49	Facility		$389.23	$2,077.80	$6,886.49
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,100.00 / $10,110.60 / $10,110.60	Facility	50	$8,100.00	$10,110.60	$10,110.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.88 / $1,250.00 / $2,077.81	Professional		$318.88	$1,250.00	$2,077.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $253.91 / $941.69	Professional		$173.51	$253.91	$941.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $681.37 / $2,016.31	Professional		$293.91	$681.37	$2,016.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $440.86 / $1,022.06 / $3,024.46	Professional	50	$440.86	$1,022.06	$3,024.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.64 / $1,131.38 / $4,097.99	Professional		$561.64	$1,131.38	$4,097.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $433.33 / $1,133.11 / $3,497.37	Professional		$433.33	$1,133.11	$3,497.37
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,889.81 / $2,843.58 / $5,247.80	Professional		$1,889.81	$2,843.58	$5,247.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $238.30 / $1,110.49 / $1,922.79	Professional		$238.30	$1,110.49	$1,922.79