Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $186.21 / $2,398.83	Facility		$75.86	$186.21	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $251.19	Professional		$44.67	$102.33	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $239.88	Professional		$162.18	$162.18	$239.88
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 $41.69 / $109.65 / $223.87	Professional		$41.69	$109.65	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $131.83 / $309.03	Professional		$56.23	$131.83	$309.03
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 $51.29 / $131.83 / $302.00	Professional		$51.29	$131.83	$302.00
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 $54.95 / $128.82 / $302.00	Professional		$54.95	$128.82	$302.00
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Facility		$131.83	$131.83	$162.18