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 $299.95 / $754.89 / $3,249.80	Professional		$299.95	$754.89	$3,249.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $569.59 / $569.59 / $569.59	Professional		$569.59	$569.59	$569.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $11,489.10 / $19,982.00	Facility		$8,992.79	$11,489.10	$19,982.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.70 / $1,035.40 / $5,130.72	Professional		$535.70	$1,035.40	$5,130.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.37 / $1,778.68 / $8,259.67	Professional		$886.37	$1,778.68	$8,259.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $683.99 / $2,868.34 / $8,853.12	Professional		$683.99	$2,868.34	$8,853.12
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,785.33 / $5,741.71 / $12,954.59	Professional		$3,785.33	$5,741.71	$12,954.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $379.68 / $2,667.80 / $4,124.01	Professional		$379.68	$2,667.80	$4,124.01