Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,445.44 / $8,912.51	Facility		$147.91	$1,445.44	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	50	$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $67.61 / $165.96	Professional		$30.20	$67.61	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $89.13	Professional		$44.67	$44.67	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $173.78	Professional		$44.67	$79.43	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $229.09	Professional		$42.66	$93.33	$229.09
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $7,413.10	Facility		$3,388.44	$3,388.44	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $91.20 / $199.53	Professional		$33.11	$91.20	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $7,413.10	Facility		$3,388.44	$3,388.44	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $85.11 / $204.17	Professional		$35.48	$85.11	$204.17
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57