Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $295.12 / $3,019.95	Facility		$70.79	$295.12	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $154.88	Professional		$42.66	$70.79	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $194.98	Professional		$53.70	$75.86	$194.98
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 $40.74 / $63.10 / $95.50	Professional		$40.74	$63.10	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $173.78	Professional		$54.95	$89.13	$173.78
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 $50.12 / $83.18 / $141.25	Professional		$50.12	$83.18	$141.25
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 $48.98 / $81.28 / $151.36	Professional		$48.98	$81.28	$151.36
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $74.13	Facility		$46.77	$46.77	$74.13