Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $193.42 / $1,749.77	Facility		$51.52	$193.42	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $73.79 / $175.50	Professional		$49.84	$73.79	$175.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $160.51	Professional		$77.81	$77.81	$160.51
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 $53.70 / $66.31 / $105.55	Professional		$53.70	$66.31	$105.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $102.09 / $168.31	Professional		$61.01	$102.09	$168.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $136.16 / $218.70	Professional		$70.04	$136.16	$218.70
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 $71.23 / $100.84 / $230.90	Professional		$71.23	$100.84	$230.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $59.61 / $87.43	Professional		$46.84	$59.61	$87.43