Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,819.70 / $9,772.37	Facility		$213.80	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $162.18	Professional		$51.29	$95.50	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $158.49	Professional		$85.11	$85.11	$158.49
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 $47.86 / $109.65 / $181.97	Professional		$47.86	$109.65	$181.97
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 $69.18 / $131.83 / $275.42	Professional		$69.18	$131.83	$275.42
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $7,943.28	Facility		$691.83	$3,630.78	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $223.87	Professional		$58.88	$114.82	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $7,943.28	Facility		$691.83	$3,630.78	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $229.09	Professional		$61.66	$117.49	$229.09
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $128.82	Facility		$75.86	$104.71	$128.82