Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $586.04 / $3,281.36	Facility		$100.00	$586.04	$3,281.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $166.62 / $268.77	Professional		$109.16	$166.62	$268.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.06 / $336.06 / $336.06	Professional		$336.06	$336.06	$336.06
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 $134.80 / $214.07 / $378.43	Professional		$134.80	$214.07	$378.43
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 $154.91 / $302.97 / $616.04	Professional		$154.91	$302.97	$616.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.40 / $288.99 / $661.10	Professional		$138.40	$288.99	$661.10
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 $224.87 / $345.51 / $712.23	Professional		$224.87	$345.51	$712.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $147.66 / $221.86	Professional		$91.56	$147.66	$221.86