Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $676.08	Facility		$100.00	$239.88	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $302.00	Professional		$87.10	$134.90	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
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 $70.79 / $134.90 / $190.55	Professional		$70.79	$134.90	$190.55
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 $102.33 / $169.82 / $323.59	Professional		$102.33	$169.82	$323.59
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 $89.13 / $144.54 / $245.47	Professional		$89.13	$144.54	$245.47
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 $93.33 / $144.54 / $263.03	Professional		$93.33	$144.54	$263.03
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $128.82	Facility		$79.43	$79.43	$128.82