Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.94 / $564.01 / $8,631.25	Facility		$182.94	$564.01	$8,631.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $195.18 / $378.21	Professional		$135.74	$195.18	$378.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $139.28 / $139.28	Professional		$139.28	$139.28	$139.28
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 $157.53 / $272.63 / $459.83	Professional		$157.53	$272.63	$459.83
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 $183.02 / $354.96 / $613.65	Professional		$183.02	$354.96	$613.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $205.48 / $426.47 / $764.01	Professional		$205.48	$426.47	$764.01
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 $237.97 / $401.75 / $876.28	Professional		$237.97	$401.75	$876.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $196.76 / $275.45	Professional		$137.22	$196.76	$275.45