Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $9,772.37	Facility		$1,819.70	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $302.00	Professional		$114.82	$169.82	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $295.12 / $1,023.29	Professional	50	$151.36	$295.12	$1,023.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	50	$295.12	$295.12	$295.12
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 $91.20 / $204.17 / $288.40	Professional		$91.20	$204.17	$288.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $309.03 / $426.58	Professional	50	$138.04	$309.03	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $436.52	Professional		$141.25	$245.47	$436.52
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 $114.82 / $204.17 / $371.54	Professional		$114.82	$204.17	$371.54
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 $120.23 / $213.80 / $389.05	Professional		$120.23	$213.80	$389.05
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $199.53	Facility		$125.89	$125.89	$199.53
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	50	$186.21	$186.21	$186.21