Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $100.00 / $2,331.21	Facility		$47.54	$100.00	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $47.63 / $84.00	Professional		$43.82	$47.63	$84.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.84 / $192.84 / $192.84	Professional		$192.84	$192.84	$192.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $73.30 / $113.58	Professional		$53.15	$73.30	$113.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $132.46 / $207.34	Professional		$77.73	$132.46	$207.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $114.83 / $194.97	Professional		$62.44	$114.83	$194.97
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 $80.89 / $103.69 / $202.47	Professional		$80.89	$103.69	$202.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $53.37 / $69.93	Professional		$42.13	$53.37	$69.93