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 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $143.75 / $173.50	Professional		$135.55	$143.75	$173.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $185.00 / $185.00	Professional		$185.00	$185.00	$185.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $158.94 / $158.94	Professional		$158.94	$158.94	$158.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,906.58 / $3,906.58 / $4,043.31	Facility		$3,906.58	$3,906.58	$4,043.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $279.27 / $498.32	Professional		$161.44	$279.27	$498.32
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $3,884.00 / $8,611.00	Facility		$864.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $229.90 / $427.60	Professional		$166.93	$229.90	$427.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00