Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $109.94 / $8,965.00	Facility		$100.00	$109.94	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $78.31 / $111.84	Professional		$60.79	$78.31	$111.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $87.08	Professional		$87.08	$87.08	$87.08
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 $80.15 / $112.88 / $167.86	Professional		$80.15	$112.88	$167.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $111.58 / $111.58	Facility		$111.58	$111.58	$111.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $137.97 / $245.38	Professional		$91.98	$137.97	$245.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $140.74 / $262.18	Professional		$80.44	$140.74	$262.18
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 $101.05 / $129.76 / $254.71	Professional		$101.05	$129.76	$254.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $71.28 / $94.02	Professional		$51.80	$71.28	$94.02