Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,173.29 / $2,331.21	Facility		$100.00	$1,173.29	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $298.66 / $383.73	Professional		$133.56	$298.66	$383.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $160.51 / $160.51	Professional		$53.43	$160.51	$160.51
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 $141.03 / $278.07 / $570.36	Professional		$141.03	$278.07	$570.36
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 $169.03 / $356.90 / $864.52	Professional		$169.03	$356.90	$864.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $358.14 / $920.98	Professional		$144.04	$358.14	$920.98
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 $333.53 / $461.57 / $822.33	Professional		$333.53	$461.57	$822.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $238.15 / $357.23	Professional		$103.81	$238.15	$357.23