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 / $22,533.00	Facility		$100.00	$2,331.21	$22,533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $594.12 / $2,475.40	Professional		$240.32	$594.12	$2,475.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.13 / $223.13 / $223.13	Professional		$223.13	$223.13	$223.13
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 $420.67 / $819.96 / $3,391.02	Professional		$420.67	$819.96	$3,391.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.19 / $1,408.00 / $5,443.62	Professional		$699.19	$1,408.00	$5,443.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $541.66 / $1,897.05 / $5,855.24	Professional		$541.66	$1,897.05	$5,855.24
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 $2,835.64 / $3,635.16 / $7,874.26	Professional		$2,835.64	$3,635.16	$7,874.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $294.41 / $1,668.82 / $2,336.35	Professional		$294.41	$1,668.82	$2,336.35