Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.87 / $800.54 / $2,755.00	Facility		$266.87	$800.54	$2,755.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.23 / $194.23 / $630.40	Facility	52	$194.23	$194.23	$630.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $567.70 / $857.70	Professional		$241.17	$567.70	$857.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.84 / $198.84 / $198.84	Professional		$198.84	$198.84	$198.84
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 $261.87 / $663.66 / $1,576.93	Professional		$261.87	$663.66	$1,576.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,862.32 / $2,862.32 / $2,962.50	Facility		$2,862.32	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.60 / $682.41 / $2,120.71	Professional		$313.60	$682.41	$2,120.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $782.81 / $2,197.42	Professional		$267.55	$782.81	$2,197.42
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.52 / $1,183.31 / $2,673.17	Professional		$854.52	$1,183.31	$2,673.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $193.58 / $305.14 / $809.19	Professional		$193.58	$305.14	$809.19