Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $9,772.37	Facility		$2,398.83	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $169.82	Professional		$45.71	$89.13	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
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 $39.81 / $89.13 / $125.89	Professional		$39.81	$89.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $257.04	Professional		$58.88	$120.23	$257.04
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $112.20 / $223.87	Professional		$48.98	$112.20	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $245.47	Professional		$51.29	$109.65	$245.47
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $114.82	Facility		$70.79	$70.79	$114.82