Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $2,398.83 / $9,772.37	Facility		$95.50	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $181.97	Professional		$63.10	$107.15	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $144.54	Professional		$48.98	$102.33	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $275.42	Professional		$67.61	$138.04	$275.42
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 $60.26 / $141.25 / $288.40	Professional		$60.26	$141.25	$288.40
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 $61.66 / $131.83 / $275.42	Professional		$61.66	$131.83	$275.42
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $138.04	Facility		$87.10	$87.10	$138.04
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	50	$128.82	$128.82	$128.82