Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $743.40 / $4,531.77	Facility		$100.00	$743.40	$4,531.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $193.11 / $346.48	Professional		$74.98	$193.11	$346.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $97.58 / $230.88	Professional		$97.58	$97.58	$230.88
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 $88.82 / $172.76 / $475.03	Professional		$88.82	$172.76	$475.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $275.77 / $817.59	Professional		$100.26	$275.77	$817.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $300.39 / $847.15	Professional		$91.73	$300.39	$847.15
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 $256.52 / $395.39 / $823.32	Professional		$256.52	$395.39	$823.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $181.60 / $291.30	Professional		$63.49	$181.60	$291.30