Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,518.29 / $18,670.09	Facility		$100.00	$2,518.29	$18,670.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.78 / $763.61 / $1,230.72	Professional		$440.78	$763.61	$1,230.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $829.17 / $829.17 / $829.17	Professional		$829.17	$829.17	$829.17
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 $687.25 / $1,232.91 / $1,963.10	Professional		$687.25	$1,232.91	$1,963.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.31 / $1,733.22 / $2,369.63	Professional		$1,181.31	$1,733.22	$2,369.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $740.31 / $1,435.27 / $2,557.23	Professional		$740.31	$1,435.27	$2,557.23
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 $747.92 / $1,170.24 / $2,534.91	Professional		$747.92	$1,170.24	$2,534.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $517.69 / $621.23 / $980.50	Professional		$517.69	$621.23	$980.50