Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $407.38 / $8,912.51	Facility		$100.00	$407.38	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $302.00	Professional		$69.18	$114.82	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Professional		$128.82	$128.82	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $239.88	Professional		$75.86	$144.54	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $323.59	Professional		$93.33	$154.88	$323.59
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $338.84	Professional		$93.33	$173.78	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $323.59	Professional		$97.72	$173.78	$323.59
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $169.82	Facility		$138.04	$138.04	$169.82