Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $621.10 / $2,331.21	Facility		$100.00	$621.10	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $178.95 / $293.63	Professional		$97.26	$178.95	$293.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $116.45 / $392.70	Professional		$98.98	$116.45	$392.70
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 $119.68 / $215.18 / $385.02	Professional		$119.68	$215.18	$385.02
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 $139.32 / $303.93 / $687.60	Professional		$139.32	$303.93	$687.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $288.36 / $731.78	Professional		$124.72	$288.36	$731.78
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 $219.75 / $341.06 / $659.71	Professional		$219.75	$341.06	$659.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $159.71 / $269.05	Professional		$79.76	$159.71	$269.05