Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $3,104.63 / $4,738.50	Facility		$147.38	$3,104.63	$4,738.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $151.81 / $366.18	Professional		$126.60	$151.81	$366.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.09 / $425.09 / $425.09	Professional		$425.09	$425.09	$425.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.03 / $851.75 / $1,194.23	Professional		$576.03	$851.75	$1,194.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.30 / $368.94 / $774.39	Professional		$272.30	$368.94	$774.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $426.70 / $798.91	Professional		$258.83	$426.70	$798.91
United Facility/Professional Professional Modifier Low / Median / High Price $221.25 / $558.45 / $1,309.25	Professional		$221.25	$558.45	$1,309.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $394.43 / $493.39 / $3,375.00	Professional		$394.43	$493.39	$3,375.00