Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $100.00 / $2,331.21	Facility		$38.10	$100.00	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $98.95 / $228.80	Professional		$35.00	$98.95	$228.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $112.71 / $322.20	Professional		$112.71	$112.71	$322.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $86.89 / $175.65	Professional		$36.22	$86.89	$175.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $102.12 / $256.12	Professional		$41.90	$102.12	$256.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $121.24 / $307.69	Professional		$47.25	$121.24	$307.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $163.19 / $359.34	Professional		$111.81	$163.19	$359.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $78.87 / $118.31	Professional		$33.53	$78.87	$118.31