Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.36 / $619.13 / $6,067.00	Facility		$219.36	$619.13	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $257.18 / $567.05	Professional		$155.61	$257.18	$567.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.02 / $268.02 / $416.81	Professional		$268.02	$268.02	$416.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $307.79 / $590.57	Professional		$182.30	$307.79	$590.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.59 / $447.40 / $972.97	Professional		$201.59	$447.40	$972.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $190.71 / $469.85 / $1,033.21	Professional		$190.71	$469.85	$1,033.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.63 / $532.46 / $1,012.35	Professional		$387.63	$532.46	$1,012.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $231.06 / $346.59	Professional		$129.51	$231.06	$346.59