Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.90 / $1,328.29 / $2,331.21	Facility		$192.90	$1,328.29	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $235.52 / $394.60	Professional		$31.97	$235.52	$394.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $43.84 / $43.84	Professional		$43.84	$43.84	$43.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $122.26 / $482.67	Professional		$57.72	$122.26	$482.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.58 / $182.50 / $713.43	Professional	50	$86.58	$182.50	$713.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $193.43 / $761.44	Professional		$65.38	$193.43	$761.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $184.44 / $757.32	Professional		$55.37	$184.44	$757.32
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 $358.04 / $515.57 / $1,012.86	Professional		$358.04	$515.57	$1,012.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $241.70 / $406.46	Professional		$40.79	$241.70	$406.46