Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $444.24 / $2,331.21	Facility		$100.00	$444.24	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $188.88 / $312.63	Professional		$118.10	$188.88	$312.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $156.38 / $156.38	Professional		$138.81	$156.38	$156.38
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 $144.62 / $241.63 / $408.57	Professional		$144.62	$241.63	$408.57
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 $163.22 / $333.18 / $727.65	Professional		$163.22	$333.18	$727.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $328.34 / $776.47	Professional		$148.86	$328.34	$776.47
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 $199.90 / $352.22 / $732.60	Professional		$199.90	$352.22	$732.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $178.41 / $276.51	Professional		$97.96	$178.41	$276.51