Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $223.87 / $8,912.51	Facility		$100.00	$223.87	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $61.66 / $134.90	Professional		$26.92	$61.66	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $186.21	Professional		$43.65	$87.10	$186.21
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 $23.99 / $56.23 / $107.15	Professional		$23.99	$56.23	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $141.25	Professional		$32.36	$67.61	$141.25
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 $29.51 / $67.61 / $147.91	Professional		$29.51	$67.61	$147.91
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 $33.11 / $72.44 / $141.25	Professional		$33.11	$72.44	$141.25
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $74.13	Facility		$60.26	$60.26	$74.13