Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $2,678.80 / $9,474.65	Facility		$626.28	$2,678.80	$9,474.65
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $261.56 / $261.56 / $882.85	Facility	53	$261.56	$261.56	$882.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.28 / $844.84 / $1,333.22	Professional		$236.28	$844.84	$1,333.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.51 / $424.55 / $446.18	Professional		$366.51	$424.55	$446.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.39 / $5,186.00 / $8,238.00	Facility		$4,667.39	$5,186.00	$8,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.39 / $791.04 / $1,827.45	Professional		$407.39	$791.04	$1,827.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.79 / $1,372.69 / $3,152.72	Professional		$682.79	$1,372.69	$3,152.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $522.55 / $1,200.30 / $3,179.62	Professional		$522.55	$1,200.30	$3,179.62
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 $1,482.49 / $2,271.32 / $6,044.58	Professional		$1,482.49	$2,271.32	$6,044.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $868.78 / $1,363.41	Professional		$290.27	$868.78	$1,363.41