Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.80 / $11,351.00	Facility		$100.00	$2,678.80	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $523.41 / $4,774.67	Professional		$210.24	$523.41	$4,774.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $165.89 / $197.52	Professional		$165.89	$165.89	$197.52
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 $370.84 / $721.89 / $6,440.60	Professional		$370.84	$721.89	$6,440.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $556.26 / $1,082.83 / $9,660.90	Professional	50	$556.26	$1,082.83	$9,660.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.91 / $1,241.14 / $10,390.12	Professional		$614.91	$1,241.14	$10,390.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $476.88 / $3,591.17 / $11,084.15	Professional		$476.88	$3,591.17	$11,084.15
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 $4,401.12 / $6,736.89 / $12,221.45	Professional		$4,401.12	$6,736.89	$12,221.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $261.44 / $2,598.38 / $4,920.39	Professional		$261.44	$2,598.38	$4,920.39