Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.14 / $558.77 / $3,373.45	Facility		$101.14	$558.77	$3,373.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $139.72 / $387.50	Professional		$88.31	$139.72	$387.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $559.53 / $559.53 / $559.53	Professional		$559.53	$559.53	$559.53
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 $113.54 / $193.43 / $322.81	Professional		$113.54	$193.43	$322.81
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 $132.15 / $252.35 / $435.64	Professional		$132.15	$252.35	$435.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $301.67 / $536.35	Professional		$148.10	$301.67	$536.35
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.20 / $276.62 / $604.29	Professional		$165.20	$276.62	$604.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $135.57 / $189.80	Professional		$95.71	$135.57	$189.80