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 $330.16 / $809.95 / $8,913.33	Professional		$330.16	$809.95	$8,913.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.14 / $307.14 / $307.14	Professional		$307.14	$307.14	$307.14
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 $572.66 / $1,116.59 / $13,184.50	Professional		$572.66	$1,116.59	$13,184.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.71 / $1,925.32 / $21,332.01	Professional		$959.71	$1,925.32	$21,332.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $737.63 / $7,402.67 / $22,848.34	Professional		$737.63	$7,402.67	$22,848.34
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 $10,574.71 / $14,204.15 / $29,364.82	Professional		$10,574.71	$14,204.15	$29,364.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $408.35 / $5,182.21 / $8,754.00	Professional		$408.35	$5,182.21	$8,754.00