Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $707.95 / $3,019.95	Facility		$114.82	$707.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $223.87 / $467.74	Professional		$97.72	$223.87	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $302.00	Professional		$67.61	$93.33	$302.00
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 $93.33 / $239.88 / $524.81	Professional		$93.33	$239.88	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $724.44	Professional		$141.25	$295.12	$724.44
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,890.45 / $8,709.64	Facility		$933.25	$3,890.45	$8,709.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $295.12 / $676.08	Professional		$114.82	$295.12	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,890.45 / $8,709.64	Facility		$933.25	$3,890.45	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $676.08	Professional		$120.23	$309.03	$676.08
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $389.05	Facility		$229.09	$316.23	$389.05