Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $645.65 / $5,623.41	Facility		$79.43	$645.65	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $186.21	Professional		$50.12	$97.72	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $125.89	Professional		$41.69	$70.79	$125.89
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 $56.23 / $131.83 / $239.88	Professional		$56.23	$131.83	$239.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $199.53 / $363.08	Professional	50	$83.18	$199.53	$363.08
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 $66.07 / $141.25 / $323.59	Professional		$66.07	$141.25	$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 $67.61 / $154.88 / $346.74	Professional		$67.61	$154.88	$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 $67.61 / $144.54 / $316.23	Professional		$67.61	$144.54	$316.23
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $169.82	Facility		$138.04	$138.04	$169.82