Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.25 / $1,047.40 / $3,030.72	Facility		$135.25	$1,047.40	$3,030.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $222.11 / $376.15	Professional		$95.93	$222.11	$376.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $96.61 / $96.61	Professional		$96.61	$96.61	$96.61
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 $96.96 / $166.18 / $264.67	Professional		$96.96	$166.18	$264.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $1,306.21 / $1,351.93	Facility		$168.56	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.71 / $33.71 / $33.71	Facility	53	$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $303.88 / $640.79	Professional		$137.97	$303.88	$640.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $296.44 / $701.58	Professional		$120.05	$296.44	$701.58
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $420.11 / $743.39	Professional		$296.67	$420.11	$743.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $174.25 / $288.48	Professional		$77.09	$174.25	$288.48