Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $630.96 / $5,623.41	Facility		$95.50	$630.96	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $263.03	Professional		$67.61	$128.82	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $295.12	Professional		$79.43	$125.89	$295.12
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 $57.54 / $114.82 / $204.17	Professional		$57.54	$114.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $275.42	Professional		$87.10	$151.36	$275.42
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $281.84	Professional		$69.18	$134.90	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $275.42	Professional		$91.20	$141.25	$275.42