Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $8,965.00	Facility		$100.00	$2,331.21	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $188.25 / $705.46	Professional		$106.49	$188.25	$705.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $266.97 / $266.97	Professional		$266.97	$266.97	$266.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $228.72 / $1,116.45	Professional		$120.01	$228.72	$1,116.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.01 / $343.09 / $1,674.68	Professional	50	$180.01	$343.09	$1,674.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $409.95 / $1,804.96	Professional		$138.57	$409.95	$1,804.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $632.84 / $1,953.26	Professional		$124.05	$632.84	$1,953.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.94 / $983.57 / $1,862.19	Professional		$770.94	$983.57	$1,862.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $383.11 / $643.24	Professional		$86.16	$383.11	$643.24