Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $346.74	Facility		$120.23	$151.36	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $48.98	Professional		$16.98	$28.18	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $42.66 / $43.65	Professional	50	$42.66	$42.66	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
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 $15.49 / $33.11 / $45.71	Professional		$15.49	$33.11	$45.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.91 / $48.98 / $69.18	Professional	50	$22.91	$48.98	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $81.28	Professional		$23.99	$41.69	$81.28
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 $19.05 / $34.67 / $64.57	Professional		$19.05	$34.67	$64.57
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 $21.38 / $38.90 / $64.57	Professional		$21.38	$38.90	$64.57
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $33.88	Facility		$21.38	$21.38	$33.88
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	50	$32.36	$32.36	$32.36