Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $363.08 / $8,912.51	Facility		$131.83	$363.08	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $371.54	Professional		$89.13	$147.91	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
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 $95.50 / $177.83 / $295.12	Professional		$95.50	$177.83	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $398.11	Professional		$117.49	$194.98	$398.11
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 $114.82 / $213.80 / $407.38	Professional		$114.82	$213.80	$407.38
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 $123.03 / $213.80 / $389.05	Professional		$123.03	$213.80	$389.05
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $204.17	Facility		$165.96	$165.96	$204.17