Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,398.83 / $9,772.37	Facility		$831.76	$2,398.83	$9,772.37
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility	22	$5,370.32	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,548.82	Professional		$575.44	$707.95	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $977.24	Professional		$537.03	$851.14	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,230.27 / $1,698.24	Professional		$575.44	$1,230.27	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,737.80	Professional		$691.83	$977.24	$1,737.80
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,513.56	Professional		$676.08	$1,000.00	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,737.80	Professional		$630.96	$891.25	$1,737.80
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $741.31	Facility		$457.09	$457.09	$741.31
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	50	$691.83	$691.83	$691.83