Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.53 / $1,635.30 / $2,265.35	Facility		$137.53	$1,635.30	$2,265.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $216.15 / $349.59	Professional		$82.51	$216.15	$349.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $76.27 / $122.03	Professional		$76.27	$76.27	$122.03
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 $81.84 / $127.54 / $225.46	Professional		$81.84	$127.54	$225.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $259.58 / $575.15	Professional		$119.29	$259.58	$575.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $254.87 / $643.37	Professional		$100.06	$254.87	$643.37
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 $301.44 / $423.33 / $754.70	Professional		$301.44	$423.33	$754.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $209.15 / $313.73	Professional		$76.70	$209.15	$313.73