Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.53 / $263.35 / $4,847.85	Facility		$68.53	$263.35	$4,847.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $74.84 / $204.43	Professional		$52.10	$74.84	$204.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $87.02 / $134.86	Professional		$67.43	$87.02	$134.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $98.54 / $182.00	Professional		$60.71	$98.54	$182.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $149.80 / $321.80	Professional		$85.40	$149.80	$321.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $158.40 / $368.91	Professional		$63.72	$158.40	$368.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $157.55 / $276.31	Professional		$114.16	$157.55	$276.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $95.89 / $143.84	Professional		$61.77	$95.89	$143.84