Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,819.70 / $9,772.37	Facility		$245.47	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $213.80	Professional		$72.44	$134.90	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
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 $69.18 / $151.36 / $208.93	Professional		$69.18	$151.36	$208.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $223.87 / $316.23	Professional	50	$104.71	$223.87	$316.23
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 $95.50 / $186.21 / $363.08	Professional		$95.50	$186.21	$363.08
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 $85.11 / $181.97 / $354.81	Professional		$85.11	$181.97	$354.81
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 $85.11 / $173.78 / $338.84	Professional		$85.11	$173.78	$338.84
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $181.97	Facility		$112.20	$112.20	$181.97