Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $209.74 / $2,331.21	Facility		$100.00	$209.74	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $147.40 / $209.74	Professional		$110.11	$147.40	$209.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $497.50 / $497.50 / $497.50	Professional		$497.50	$497.50	$497.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $174.03 / $247.08	Professional		$104.48	$174.03	$247.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $181.52 / $181.52	Facility		$181.52	$181.52	$181.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $222.13 / $376.70	Professional		$147.97	$222.13	$376.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $237.28 / $425.73	Professional		$130.57	$237.28	$425.73
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $226.59 / $423.29	Professional		$168.15	$226.59	$423.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $119.13 / $162.13	Professional		$83.93	$119.13	$162.13