Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.44 / $623.92 / $2,331.21	Facility		$185.44	$623.92	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $216.62 / $536.16	Professional		$129.66	$216.62	$536.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $852.74 / $852.74 / $852.74	Professional		$852.74	$852.74	$852.74
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 $142.32 / $255.23 / $482.65	Professional		$142.32	$255.23	$482.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.95 / $380.69 / $762.32	Professional		$193.95	$380.69	$762.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $185.64 / $404.57 / $817.03	Professional		$185.64	$404.57	$817.03
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 $256.05 / $359.52 / $900.86	Professional		$256.05	$359.52	$900.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $202.02 / $282.83	Professional		$127.53	$202.02	$282.83