Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,819.70 / $9,772.37	Facility		$446.68	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $380.19	Professional		$125.89	$251.19	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $316.23 / $562.34	Professional	50	$309.03	$316.23	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
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 $117.49 / $257.04 / $363.08	Professional		$117.49	$257.04	$363.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $389.05 / $537.03	Professional	50	$173.78	$389.05	$537.03
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 $162.18 / $331.13 / $660.69	Professional		$162.18	$331.13	$660.69
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 $144.54 / $323.59 / $660.69	Professional		$144.54	$323.59	$660.69
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 $144.54 / $316.23 / $630.96	Professional		$144.54	$316.23	$630.96
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $331.13	Facility		$204.17	$204.17	$331.13
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	50	$309.03	$309.03	$309.03