Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $639.94 / $8,965.00	Facility		$100.00	$639.94	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $121.61 / $229.99	Professional		$67.12	$121.61	$229.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $82.41 / $195.41	Professional		$82.41	$82.41	$195.41
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 $91.78 / $180.13 / $380.87	Professional		$91.78	$180.13	$380.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $137.66 / $268.89 / $571.30	Professional	50	$137.66	$268.89	$571.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $309.61 / $613.70	Professional		$154.07	$309.61	$613.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $272.02 / $677.76	Professional		$118.43	$272.02	$677.76
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 $249.56 / $345.56 / $748.53	Professional		$249.56	$345.56	$748.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $131.96 / $219.90	Professional		$65.34	$131.96	$219.90