Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $630.96 / $8,912.51	Facility		$190.55	$630.96	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $676.08	Professional		$186.21	$309.03	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $309.03 / $933.25	Professional		$95.50	$309.03	$933.25
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 $194.98 / $346.74 / $524.81	Professional		$194.98	$346.74	$524.81
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 $213.80 / $389.05 / $691.83	Professional		$213.80	$389.05	$691.83
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 $239.88 / $426.58 / $776.25	Professional		$239.88	$426.58	$776.25
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 $218.78 / $380.19 / $724.44	Professional		$218.78	$380.19	$724.44
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $371.54	Facility		$218.78	$257.04	$371.54