Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $230.98 / $2,331.21	Facility		$100.00	$230.98	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $104.26 / $159.32	Professional		$48.21	$104.26	$159.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $110.79 / $110.79	Professional		$110.79	$110.79	$110.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $112.48 / $244.81	Professional		$56.59	$112.48	$244.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $166.82 / $376.00	Professional		$68.26	$166.82	$376.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $151.75 / $403.32	Professional		$58.74	$151.75	$403.32
United Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $3,624.00 / $8,035.00	Facility		$696.00	$3,624.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $195.92 / $451.85	Professional		$109.94	$195.92	$451.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $82.72 / $139.38	Professional		$41.29	$82.72	$139.38