Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.90 / $951.50 / $3,445.52	Facility		$338.90	$951.50	$3,445.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $235.21 / $615.44	Professional		$195.37	$235.21	$615.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $216.52 / $446.60	Professional		$108.26	$216.52	$446.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.35 / $524.78 / $1,071.32	Professional		$235.35	$524.78	$1,071.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $578.19 / $1,433.07	Professional		$272.05	$578.19	$1,433.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $233.35 / $589.40 / $1,504.10	Professional		$233.35	$589.40	$1,504.10
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $3,884.00 / $8,611.00	Facility		$864.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $737.32 / $1,383.94	Professional		$287.43	$737.32	$1,383.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $161.52 / $291.14 / $563.60	Professional		$161.52	$291.14	$563.60