Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $575.44 / $8,912.51	Facility		$100.00	$575.44	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $436.52	Professional		$87.10	$154.88	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $457.09	Professional		$104.71	$234.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $660.69	Professional		$131.83	$295.12	$660.69
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $316.23 / $707.95	Professional		$128.82	$316.23	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $588.84	Professional		$128.82	$263.03	$588.84
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13