Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $269.15 / $2,398.83	Facility		$87.10	$269.15	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $309.03	Professional		$81.28	$120.23	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
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 $91.20 / $154.88 / $245.47	Professional		$91.20	$154.88	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $323.59	Professional		$120.23	$204.17	$323.59
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $346.74	Professional		$109.65	$194.98	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $354.81	Professional		$109.65	$181.97	$354.81
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $169.82	Facility		$138.04	$138.04	$169.82