Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $200.70 / $2,331.21	Facility		$51.55	$200.70	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $51.14 / $122.04	Professional		$26.94	$51.14	$122.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $51.63 / $51.63	Professional		$51.63	$51.63	$51.63
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 $28.46 / $55.64 / $102.66	Professional		$28.46	$55.64	$102.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $69.29 / $142.27	Professional		$32.90	$69.29	$142.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $86.44 / $178.78	Professional		$37.13	$86.44	$178.78
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 $55.86 / $76.56 / $194.63	Professional		$55.86	$76.56	$194.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $43.71 / $61.59	Professional		$26.08	$43.71	$61.59