Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,230.27 / $8,912.51	Facility		$173.78	$1,230.27	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $363.08	Professional		$81.28	$162.18	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $234.42	Professional		$75.86	$75.86	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $169.82 / $295.12	Professional		$70.79	$169.82	$295.12
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 $107.15 / $213.80 / $426.58	Professional		$107.15	$213.80	$426.58
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 $89.13 / $190.55 / $398.11	Professional		$89.13	$190.55	$398.11
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 $93.33 / $194.98 / $398.11	Professional		$93.33	$194.98	$398.11
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $229.09	Facility		$134.90	$194.98	$229.09