Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.80 / $2,341.64 / $8,171.84	Facility		$448.80	$2,341.64	$8,171.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,538.76 / $14,910.19 / $14,910.19	Facility	50	$13,538.76	$14,910.19	$14,910.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $448.80 / $935.48	Professional		$354.10	$448.80	$935.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.19 / $516.04 / $715.23	Professional		$250.19	$516.04	$715.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.92 / $848.24 / $1,286.39	Professional		$511.92	$848.24	$1,286.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.41 / $972.97 / $1,631.80	Professional		$587.41	$972.97	$1,631.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $497.31 / $986.56 / $1,638.19	Professional		$497.31	$986.56	$1,638.19
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.03 / $743.46 / $1,308.38	Professional		$540.03	$743.46	$1,308.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $345.45 / $414.54 / $654.28	Professional		$345.45	$414.54	$654.28