Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.31 / $596.83 / $2,331.21	Facility		$180.31	$596.83	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $221.55 / $459.35	Professional		$170.83	$221.55	$459.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $723.91 / $723.91 / $723.91	Professional		$723.91	$723.91	$723.91
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 $191.17 / $338.44 / $579.30	Professional		$191.17	$338.44	$579.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.75 / $462.06 / $891.54	Professional		$260.75	$462.06	$891.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $249.36 / $520.04 / $962.55	Professional		$249.36	$520.04	$962.55
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 $301.25 / $506.03 / $1,172.59	Professional		$301.25	$506.03	$1,172.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $239.27 / $334.98	Professional		$155.22	$239.27	$334.98