Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,711.76 / $9,859.00	Facility		$100.00	$1,711.76	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $685.23 / $1,711.77	Professional		$206.78	$685.23	$1,711.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.09 / $187.09 / $187.09	Professional		$187.09	$187.09	$187.09
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 $359.21 / $697.77 / $2,528.79	Professional		$359.21	$697.77	$2,528.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.17 / $1,204.92 / $4,063.51	Professional		$598.17	$1,204.92	$4,063.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $460.95 / $1,420.10 / $4,383.14	Professional		$460.95	$1,420.10	$4,383.14
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 $2,007.86 / $2,672.45 / $5,788.90	Professional		$2,007.86	$2,672.45	$5,788.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $253.21 / $1,201.11 / $1,820.48	Professional		$253.21	$1,201.11	$1,820.48