Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $132.99 / $8,965.00	Facility		$100.00	$132.99	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $93.91 / $148.66	Professional		$69.95	$93.91	$148.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $278.38	Professional		$117.36	$117.36	$278.38
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 $78.78 / $128.79 / $180.14	Professional		$78.78	$128.79	$180.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $1,306.21 / $1,351.93	Facility		$131.76	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $176.59 / $333.59	Professional		$113.77	$176.59	$333.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $176.73 / $327.35	Professional		$96.61	$176.73	$327.35
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 $132.88 / $171.34 / $321.57	Professional		$132.88	$171.34	$321.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $87.71 / $119.62	Professional		$60.74	$87.71	$119.62