Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,971.10 / $9,859.00	Facility		$100.00	$1,971.10	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.26 / $849.97 / $1,971.10	Professional		$498.26	$849.97	$1,971.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,588.78 / $1,588.78 / $1,588.78	Professional		$1,588.78	$1,588.78	$1,588.78
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 $569.63 / $939.16 / $1,455.32	Professional		$569.63	$939.16	$1,455.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.25 / $1,016.67 / $1,623.99	Professional		$631.25	$1,016.67	$1,623.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $550.27 / $1,091.63 / $1,812.64	Professional		$550.27	$1,091.63	$1,812.64
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.01 / $865.33 / $1,957.81	Professional		$675.01	$865.33	$1,957.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $386.59 / $425.25 / $541.23	Professional		$386.59	$425.25	$541.23