Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $174.70 / $2,331.21	Facility		$54.17	$174.70	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $64.16 / $169.34	Professional		$42.02	$64.16	$169.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.79 / $163.79 / $163.79	Professional		$163.79	$163.79	$163.79
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 $43.67 / $76.97 / $131.37	Professional		$43.67	$76.97	$131.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $100.94 / $174.51	Professional		$50.52	$100.94	$174.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $118.22 / $218.28	Professional		$56.96	$118.22	$218.28
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 $68.13 / $98.07 / $242.70	Professional		$68.13	$98.07	$242.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $55.58 / $77.48	Professional		$40.76	$55.58	$77.48