Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $446.68 / $30,902.95	Facility		$41.69	$446.68	$30,902.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $117.49 / $363.08	Professional		$36.31	$117.49	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $36.31	Professional		$16.98	$16.98	$36.31
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 $34.67 / $79.43 / $363.08	Professional		$34.67	$79.43	$363.08
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 $48.98 / $251.19 / $562.34	Professional		$48.98	$251.19	$562.34
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $3,388.44 / $7,413.10	Facility		$75.86	$3,388.44	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $234.42 / $630.96	Professional		$42.66	$234.42	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $3,388.44 / $7,413.10	Facility		$75.86	$3,388.44	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $158.49 / $575.44	Professional		$42.66	$158.49	$575.44
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $302.00	Facility		$181.97	$245.47	$302.00