Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.07 / $126.24 / $319.27	Facility		$57.07	$126.24	$319.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $68.52 / $125.46	Professional		$45.99	$68.52	$125.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $117.44 / $117.44	Professional		$117.44	$117.44	$117.44
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 $49.49 / $81.18 / $114.44	Professional		$49.49	$81.18	$114.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.75 / $122.87 / $171.66	Professional	50	$73.75	$122.87	$171.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $84.93 / $84.93	Facility		$84.93	$84.93	$84.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $111.04 / $201.43	Professional		$69.54	$111.04	$201.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $112.41 / $207.81	Professional		$61.45	$112.41	$207.81
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 $81.48 / $111.38 / $194.60	Professional		$81.48	$111.38	$194.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $55.97 / $78.36	Professional		$38.86	$55.97	$78.36