Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $646.59 / $1,749.77	Facility		$142.13	$646.59	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $160.69 / $218.79	Professional		$84.28	$160.69	$218.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $38.79 / $77.59	Professional		$38.79	$38.79	$77.59
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 $98.98 / $167.55 / $285.27	Professional		$98.98	$167.55	$285.27
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 $115.84 / $231.90 / $502.16	Professional		$115.84	$231.90	$502.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $220.34 / $538.46	Professional		$98.17	$220.34	$538.46
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 $206.85 / $281.20 / $587.99	Professional		$206.85	$281.20	$587.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $136.03 / $216.14	Professional		$72.16	$136.03	$216.14