Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $501.19 / $8,912.51	Facility		$109.65	$501.19	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $407.38	Professional		$104.71	$194.98	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
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 $107.15 / $223.87 / $354.81	Professional		$107.15	$223.87	$354.81
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 $144.54 / $269.15 / $501.19	Professional		$144.54	$269.15	$501.19
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $3,388.44 / $7,413.10	Facility		$75.86	$3,388.44	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $537.03	Professional		$131.83	$263.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $3,388.44 / $7,413.10	Facility		$75.86	$3,388.44	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $478.63	Professional		$125.89	$245.47	$478.63
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $275.42	Facility		$162.18	$223.87	$275.42