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 $303.33 / $1,646.20 / $2,720.52	Professional		$303.33	$1,646.20	$2,720.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.23 / $393.23 / $393.23	Professional		$393.23	$393.23	$393.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.58 / $1,014.51 / $3,195.19	Professional		$521.58	$1,014.51	$3,195.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.51 / $1,744.83 / $6,129.60	Professional		$867.51	$1,744.83	$6,129.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $670.18 / $1,805.21 / $5,571.78	Professional		$670.18	$1,805.21	$5,571.78
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,717.13 / $3,971.81 / $7,545.18	Professional		$2,717.13	$3,971.81	$7,545.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $372.14 / $1,595.32 / $2,844.00	Professional		$372.14	$1,595.32	$2,844.00