Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $389.05 / $8,912.51	Facility		$134.90	$389.05	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $208.93	Professional		$63.10	$97.72	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Professional		$112.20	$112.20	$218.78
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 $69.18 / $120.23 / $177.83	Professional		$69.18	$120.23	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $234.42	Professional		$83.18	$120.23	$234.42
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 $83.18 / $144.54 / $245.47	Professional		$83.18	$144.54	$245.47
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 $77.62 / $125.89 / $257.04	Professional		$77.62	$125.89	$257.04
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $120.23	Facility		$97.72	$97.72	$120.23