Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $491.40 / $1,749.77	Facility		$100.00	$491.40	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $127.85 / $219.54	Professional		$59.38	$127.85	$219.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $104.08 / $107.26	Professional		$52.30	$104.08	$107.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $125.91 / $376.08	Professional		$64.65	$125.91	$376.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $203.61 / $607.16	Professional		$76.81	$203.61	$607.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $230.55 / $732.14	Professional		$69.20	$230.55	$732.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $288.92 / $593.66	Professional		$199.58	$288.92	$593.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $104.51 / $220.61	Professional		$49.63	$104.51	$220.61