Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,659.43 / $2,331.21	Facility		$100.00	$1,659.43	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $464.55 / $655.45	Professional		$175.95	$464.55	$655.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.38 / $236.38 / $470.11	Professional		$236.38	$236.38	$470.11
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 $216.31 / $419.77 / $989.07	Professional		$216.31	$419.77	$989.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.39 / $547.30 / $1,594.55	Professional		$250.39	$547.30	$1,594.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $222.90 / $633.20 / $1,722.41	Professional		$222.90	$633.20	$1,722.41
United Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $4,314.00 / $9,565.00	Facility		$691.00	$4,314.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.33 / $885.64 / $1,880.84	Professional		$561.33	$885.64	$1,880.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $436.97 / $655.46	Professional		$155.38	$436.97	$655.46