Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $790.68 / $6,067.00	Facility		$100.00	$790.68	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $167.10 / $362.49	Professional		$128.88	$167.10	$362.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $244.80	Professional		$244.80	$244.80	$244.80
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 $142.68 / $227.05 / $378.33	Professional		$142.68	$227.05	$378.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $318.08 / $545.20	Professional		$170.35	$318.08	$545.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $331.94 / $673.20	Professional		$152.32	$331.94	$673.20
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 $262.51 / $383.14 / $651.51	Professional		$262.51	$383.14	$651.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $156.02 / $228.69	Professional		$101.85	$156.02	$228.69