Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $653.41 / $2,341.64	Facility		$100.00	$653.41	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $183.66 / $375.91	Professional		$155.75	$183.66	$375.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $140.06 / $140.06	Professional		$140.06	$140.06	$140.06
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 $152.03 / $257.56 / $410.20	Professional		$152.03	$257.56	$410.20
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 $205.53 / $322.50 / $497.20	Professional		$205.53	$322.50	$497.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $301.05 / $537.16	Professional		$174.04	$301.05	$537.16
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $257.05 / $458.12	Professional		$174.04	$257.05	$458.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $154.34 / $235.42	Professional		$128.62	$154.34	$235.42