Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,065.26 / $6,067.00	Facility		$100.00	$1,065.26	$6,067.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $173.31 / $532.63 / $541.16	Facility	52	$173.31	$532.63	$541.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.12 / $299.08 / $833.36	Professional		$209.12	$299.08	$833.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $88.44 / $176.88	Professional		$88.44	$88.44	$176.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.40 / $587.09 / $1,353.10	Professional		$240.40	$587.09	$1,353.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $611.07 / $1,907.38	Professional		$280.01	$611.07	$1,907.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $677.76 / $1,886.62	Professional		$238.58	$677.76	$1,886.62
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $3,884.00 / $8,611.00	Facility		$864.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $975.28 / $2,105.08	Professional		$368.12	$975.28	$2,105.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $314.48 / $743.68	Professional		$173.05	$314.48	$743.68