Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $537.03 / $8,912.51	Facility		$128.82	$537.03	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $389.05	Professional		$100.00	$154.88	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $134.90	Professional		$131.83	$131.83	$134.90
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 $114.82 / $194.98 / $316.23	Professional		$114.82	$194.98	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $426.58	Professional		$147.91	$245.47	$426.58
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $457.09	Professional		$141.25	$251.19	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $446.68	Professional		$134.90	$239.88	$446.68
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $218.78	Facility		$177.83	$177.83	$218.78