Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $288.40 / $9,772.37	Facility		$134.90	$288.40	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $100.00 / $245.47	Professional		$39.81	$100.00	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $128.82 / $371.54	Professional		$39.81	$128.82	$371.54
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 $40.74 / $89.13 / $204.17	Professional		$40.74	$89.13	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $125.89 / $331.13	Professional		$53.70	$125.89	$331.13
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 $50.12 / $128.82 / $302.00	Professional		$50.12	$128.82	$302.00
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 $46.77 / $109.65 / $257.04	Professional		$46.77	$109.65	$257.04
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $158.49	Facility		$95.50	$128.82	$158.49