Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $389.05 / $8,912.51	Facility		$114.82	$389.05	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $245.47	Professional		$60.26	$107.15	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $229.09	Professional		$93.33	$131.83	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $162.18	Professional		$63.10	$112.20	$162.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $165.96 / $245.47	Professional	50	$93.33	$165.96	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $288.40	Professional		$75.86	$138.04	$288.40
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $288.40	Professional		$75.86	$147.91	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $281.84	Professional		$81.28	$151.36	$281.84
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $151.36	Facility		$123.03	$123.03	$151.36