Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $851.14 / $8,912.51	Facility		$181.97	$851.14	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $407.38	Professional		$134.90	$208.93	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
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 $138.04 / $275.42 / $457.09	Professional		$138.04	$275.42	$457.09
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 $177.83 / $295.12 / $616.60	Professional		$177.83	$295.12	$616.60
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 $165.96 / $316.23 / $630.96	Professional		$165.96	$316.23	$630.96
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 $177.83 / $331.13 / $630.96	Professional		$177.83	$331.13	$630.96
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Facility		$257.04	$257.04	$316.23