Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $912.01 / $9,772.37	Facility		$131.83	$912.01	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $79.43	Professional		$10.00	$25.12	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $43.65	Professional		$25.12	$25.12	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.12 / $47.86	Professional		$15.49	$25.12	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $43.65 / $104.71	Professional		$20.89	$43.65	$104.71
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $57.54 / $120.23	Professional		$26.30	$57.54	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $46.77 / $87.10	Professional		$23.99	$46.77	$87.10
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $57.54	Facility		$46.77	$46.77	$57.54