Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.15 / $446.56 / $2,341.64	Facility		$186.15	$446.56	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $78.83 / $149.74	Professional		$24.60	$78.83	$149.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $34.08 / $35.11	Professional		$33.09	$34.08	$35.11
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 $44.02 / $87.23 / $229.80	Professional		$44.02	$87.23	$229.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $138.84 / $349.41	Professional		$49.19	$138.84	$349.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $128.86 / $394.99	Professional		$41.13	$128.86	$394.99
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 $148.27 / $198.71 / $359.45	Professional		$148.27	$198.71	$359.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $88.63 / $136.54	Professional		$31.71	$88.63	$136.54