Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.25 / $6,929.74 / $14,015.70	Facility		$596.25	$6,929.74	$14,015.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,040.54 / $13,536.96 / $15,539.40	Facility	50	$11,040.54	$13,536.96	$15,539.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.41 / $596.25 / $758.58	Professional		$421.41	$596.25	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $382.45 / $382.45 / $558.59	Professional		$382.45	$382.45	$558.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.99 / $778.29 / $1,176.24	Professional		$499.99	$778.29	$1,176.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.16 / $888.41 / $1,345.97	Professional		$521.16	$888.41	$1,345.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $456.21 / $905.03 / $1,502.80	Professional		$456.21	$905.03	$1,502.80
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.45 / $698.40 / $1,355.33	Professional		$567.45	$698.40	$1,355.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $323.52 / $388.22 / $612.75	Professional		$323.52	$388.22	$612.75