Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $977.24 / $2,818.38	Facility		$154.88	$977.24	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $239.88 / $630.96	Professional		$95.50	$239.88	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $251.19	Professional		$83.18	$112.20	$251.19
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 $89.13 / $194.98 / $281.84	Professional		$89.13	$194.98	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $645.65	Professional		$128.82	$288.40	$645.65
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $302.00 / $630.96	Professional		$109.65	$302.00	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $275.42 / $602.56	Professional		$112.20	$275.42	$602.56
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $323.59	Facility		$204.17	$204.17	$323.59