Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.62 / $691.39 / $3,526.00	Facility		$139.62	$691.39	$3,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $170.56 / $327.26	Professional		$124.67	$170.56	$327.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $117.42 / $117.42	Professional		$117.42	$117.42	$117.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.59 / $245.86 / $388.50	Professional		$155.59	$245.86	$388.50
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 $179.23 / $311.88 / $512.26	Professional		$179.23	$311.88	$512.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $403.88 / $645.52	Professional		$202.94	$403.88	$645.52
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.83 / $300.69 / $720.33	Professional		$215.83	$300.69	$720.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $170.99 / $226.90	Professional		$122.66	$170.99	$226.90