Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,466.84 / $14,791.08	Facility		$616.60	$4,466.84	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,621.81	Professional		$478.63	$676.08	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,659.59	Professional		$501.19	$616.60	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $6,309.57	Facility		$3,467.37	$4,677.35	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,047.13	Professional		$512.86	$724.44	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $776.25 / $1,412.54	Professional		$380.19	$776.25	$1,412.54
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,466.84 / $10,000.00	Facility		$851.14	$4,466.84	$10,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,348.96	Professional		$575.44	$831.76	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,466.84 / $10,000.00	Facility		$851.14	$4,466.84	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,445.44	Professional		$537.03	$812.83	$1,445.44
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $660.69	Facility		$389.05	$562.34	$660.69
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	50	$588.84	$588.84	$588.84