Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.30 / $1,749.77 / $4,767.89	Facility		$143.30	$1,749.77	$4,767.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $143.30 / $287.98	Professional		$108.99	$143.30	$287.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $178.12 / $313.39	Professional		$151.94	$178.12	$313.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $260.07 / $393.66	Professional		$162.00	$260.07	$393.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.09 / $314.08 / $497.26	Professional		$192.09	$314.08	$497.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $301.91 / $501.33	Professional		$152.19	$301.91	$501.33
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 $187.36 / $264.77 / $541.48	Professional		$187.36	$264.77	$541.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $129.55 / $190.44	Professional		$107.96	$129.55	$190.44