Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.62 / $2,331.21	Facility		$100.00	$177.62	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $88.74 / $118.61	Professional		$41.11	$88.74	$118.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $128.91 / $128.91	Professional		$128.91	$128.91	$128.91
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 $46.35 / $80.48 / $117.52	Professional		$46.35	$80.48	$117.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $138.25 / $265.42	Professional		$65.56	$138.25	$265.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $143.44 / $323.43	Professional		$58.22	$143.44	$323.43
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $172.49 / $299.94	Professional		$134.55	$172.49	$299.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $77.59 / $116.39	Professional		$41.04	$77.59	$116.39