Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.37 / $2,276.26 / $9,063.53	Facility		$816.37	$2,276.26	$9,063.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,544.23 / $1,544.23 / $1,544.23	Facility	50	$1,544.23	$1,544.23	$1,544.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.54 / $816.38 / $1,380.85	Professional		$586.54	$816.38	$1,380.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $529.58 / $529.58 / $529.58	Professional		$529.58	$529.58	$529.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.94 / $1,032.15 / $1,487.63	Professional		$687.94	$1,032.15	$1,487.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.43 / $1,477.87 / $2,410.35	Professional		$757.43	$1,477.87	$2,410.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $727.81 / $1,352.73 / $2,532.71	Professional		$727.81	$1,352.73	$2,532.71
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.61 / $1,357.71 / $4,750.21	Professional		$1,012.61	$1,357.71	$4,750.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $491.51 / $662.00 / $1,107.04	Professional		$491.51	$662.00	$1,107.04