Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $258.88 / $8,965.00	Facility		$100.00	$258.88	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $116.71 / $245.62	Professional		$50.35	$116.71	$245.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $158.19 / $158.19	Professional		$158.19	$158.19	$158.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $135.85 / $243.75	Professional		$75.45	$135.85	$243.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $214.93 / $453.16	Professional		$124.87	$214.93	$453.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $215.02 / $500.60	Professional		$86.49	$215.02	$500.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.36 / $271.50 / $530.14	Professional		$195.36	$271.50	$530.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $123.06 / $186.55	Professional		$58.67	$123.06	$186.55