Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $369.59 / $1,669.35	Facility		$100.00	$369.59	$1,669.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $100.26 / $255.74	Professional		$50.13	$100.26	$255.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $63.60 / $63.60	Professional		$63.60	$63.60	$63.60
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 $54.02 / $105.71 / $201.14	Professional		$54.02	$105.71	$201.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $149.33 / $322.42	Professional		$72.56	$149.33	$322.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $169.36 / $350.30	Professional		$70.45	$169.36	$350.30
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 $151.32 / $200.48 / $389.78	Professional		$151.32	$200.48	$389.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $96.49 / $154.19	Professional		$48.04	$96.49	$154.19