Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $137.24 / $2,331.21	Facility		$100.00	$137.24	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $82.20 / $147.36	Professional		$40.53	$82.20	$147.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $269.83 / $269.83	Professional		$97.12	$269.83	$269.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $89.47 / $191.32	Professional		$48.73	$89.47	$191.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $139.47 / $361.72	Professional		$57.53	$139.47	$361.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $132.36 / $356.53	Professional		$50.29	$132.36	$356.53
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $3,360.00 / $7,448.00	Facility		$75.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $160.15 / $386.17	Professional		$109.54	$160.15	$386.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $60.89 / $116.84	Professional		$33.20	$60.89	$116.84