Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.31 / $1,029.25 / $6,609.12	Facility		$222.31	$1,029.25	$6,609.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $222.32 / $480.07	Professional		$137.37	$222.32	$480.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $252.88 / $252.88	Professional		$252.88	$252.88	$252.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.39 / $5,186.00 / $8,238.00	Facility		$4,667.39	$5,186.00	$8,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $342.06 / $479.60	Professional		$214.46	$342.06	$479.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.69 / $529.13 / $787.62	Professional		$391.69	$529.13	$787.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $441.01 / $757.77	Professional		$245.51	$441.01	$757.77
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.07 / $423.82 / $847.80	Professional		$316.07	$423.82	$847.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $209.51 / $315.48	Professional		$164.62	$209.51	$315.48