Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $707.95 / $2,951.21	Facility		$100.00	$707.95	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $169.82 / $501.19	Professional		$69.18	$169.82	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $64.57	Professional		$38.90	$38.90	$64.57
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 $66.07 / $169.82 / $549.54	Professional		$66.07	$169.82	$549.54
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 $95.50 / $213.80 / $691.83	Professional		$95.50	$213.80	$691.83
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $7,943.28	Facility		$691.83	$3,630.78	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $269.15 / $758.58	Professional		$83.18	$269.15	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $7,943.28	Facility		$691.83	$3,630.78	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $676.08	Professional		$81.28	$223.87	$676.08
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $380.19	Facility		$229.09	$309.03	$380.19