Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.88 / $3,313.74 / $24,252.69	Facility		$513.88	$3,313.74	$24,252.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,039.50 / $8,476.03 / $42,099.37	Facility	50	$4,039.50	$8,476.03	$42,099.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $428.28 / $1,031.04	Professional		$375.64	$428.28	$1,031.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $492.40 / $506.53 / $1,407.61	Professional		$492.40	$506.53	$1,407.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,300.00	Facility		$8,512.20	$9,458.00	$17,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.62 / $717.11 / $1,147.24	Professional		$427.62	$717.11	$1,147.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $811.43 / $1,310.86	Professional		$510.00	$811.43	$1,310.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $489.54 / $846.81 / $1,510.97	Professional		$489.54	$846.81	$1,510.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,660.00 / $12,399.00	Facility		$1,111.00	$4,660.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.86 / $685.91 / $1,254.18	Professional		$461.86	$685.91	$1,254.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $339.87 / $407.84 / $643.71	Professional		$339.87	$407.84	$643.71