Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,819.70 / $8,912.51	Facility		$323.59	$1,819.70	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $467.74	Professional		$97.72	$208.93	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
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 $104.71 / $213.80 / $407.38	Professional		$104.71	$213.80	$407.38
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 $131.83 / $257.04 / $549.54	Professional		$131.83	$257.04	$549.54
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 $125.89 / $288.40 / $616.60	Professional		$125.89	$288.40	$616.60
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 $117.49 / $245.47 / $549.54	Professional		$117.49	$245.47	$549.54
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $316.23	Facility		$186.21	$257.04	$316.23