Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $290.63 / $8,965.00	Facility		$50.53	$290.63	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $131.43 / $178.97	Professional		$38.94	$131.43	$178.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $59.05 / $59.05	Professional		$59.05	$59.05	$59.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $72.66 / $108.60	Professional		$38.82	$72.66	$108.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.23 / $108.99 / $159.29	Professional	50	$58.23	$108.99	$159.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $166.70 / $491.87	Professional		$53.53	$166.70	$491.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $158.11 / $540.17	Professional		$47.46	$158.11	$540.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $252.50 / $475.67	Professional		$161.68	$252.50	$475.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $114.90 / $178.57	Professional		$35.09	$114.90	$178.57