Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,691.53 / $14,125.38	Facility		$363.08	$2,691.53	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $602.56	Professional		$204.17	$288.40	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $2,818.38	Professional		$102.33	$151.36	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $602.56	Professional		$194.98	$416.87	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $575.44	Professional		$223.87	$331.13	$575.44
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,265.80 / $9,549.93	Facility		$691.83	$4,265.80	$9,549.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $512.86	Professional		$223.87	$323.59	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,265.80 / $9,549.93	Facility		$691.83	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $602.56	Professional		$213.80	$316.23	$602.56
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $275.42	Facility		$162.18	$223.87	$275.42