Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $368.78 / $6,067.00	Facility		$100.00	$368.78	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $152.61 / $219.35	Professional		$71.95	$152.61	$219.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $212.28 / $212.28	Professional		$212.28	$212.28	$212.28
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 $86.36 / $161.31 / $360.89	Professional		$86.36	$161.31	$360.89
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 $103.11 / $266.33 / $613.50	Professional		$103.11	$266.33	$613.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $238.87 / $643.44	Professional		$87.71	$238.87	$643.44
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 $216.30 / $309.58 / $594.11	Professional		$216.30	$309.58	$594.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $158.15 / $247.25	Professional		$63.99	$158.15	$247.25