Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $452.15 / $8,965.00	Facility		$100.00	$452.15	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $113.46 / $375.03	Professional		$81.41	$113.46	$375.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.09 / $333.09 / $333.09	Professional		$333.09	$333.09	$333.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $280.57 / $464.88	Professional		$184.10	$280.57	$464.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $384.20 / $746.94	Professional		$220.23	$384.20	$746.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $226.15 / $460.22 / $828.65	Professional		$226.15	$460.22	$828.65
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 $200.12 / $384.96 / $616.91	Professional		$200.12	$384.96	$616.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $208.73 / $303.56	Professional		$153.56	$208.73	$303.56