Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $351.02 / $4,327.34	Facility		$100.00	$351.02	$4,327.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $131.93 / $354.37	Professional		$91.69	$131.93	$354.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $140.22 / $140.22	Professional		$140.22	$140.22	$140.22
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 $103.83 / $175.81 / $292.16	Professional		$103.83	$175.81	$292.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $227.12 / $396.54	Professional		$120.93	$227.12	$396.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $273.82 / $485.43	Professional		$135.44	$273.82	$485.43
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 $157.27 / $225.86 / $545.22	Professional		$157.27	$225.86	$545.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $122.26 / $171.16	Professional		$87.14	$122.26	$171.16