Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.77 / $739.63 / $4,452.30	Facility		$173.77	$739.63	$4,452.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $249.37 / $411.90	Professional		$169.05	$249.37	$411.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $197.67 / $197.67	Professional		$197.67	$197.67	$197.67
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 $206.06 / $329.20 / $558.82	Professional		$206.06	$329.20	$558.82
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 $236.67 / $445.90 / $900.26	Professional		$236.67	$445.90	$900.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $433.90 / $972.94	Professional		$212.83	$433.90	$972.94
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 $304.24 / $452.52 / $857.95	Professional		$304.24	$452.52	$857.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $235.82 / $357.98	Professional		$143.46	$235.82	$357.98