Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.42 / $595.03 / $3,743.15	Facility		$169.42	$595.03	$3,743.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $212.48 / $437.02	Professional		$136.44	$212.48	$437.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $297.02 / $297.02	Professional		$297.02	$297.02	$297.02
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 $147.82 / $265.08 / $484.34	Professional		$147.82	$265.08	$484.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.95 / $380.94 / $759.86	Professional		$201.95	$380.94	$759.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $415.58 / $812.85	Professional		$192.82	$415.58	$812.85
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 $244.90 / $399.08 / $900.16	Professional		$244.90	$399.08	$900.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $201.73 / $282.42	Professional		$132.32	$201.73	$282.42