Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $456.80 / $2,331.21	Facility		$130.63	$456.80	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $170.55 / $313.81	Professional		$108.23	$170.55	$313.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.49 / $214.49 / $417.04	Professional		$214.49	$214.49	$417.04
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 $118.39 / $207.93 / $354.10	Professional		$118.39	$207.93	$354.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $269.45 / $472.90	Professional		$137.44	$269.45	$472.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $320.50 / $588.34	Professional		$154.41	$320.50	$588.34
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 $183.73 / $285.55 / $662.68	Professional		$183.73	$285.55	$662.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $148.91 / $208.47	Professional		$106.41	$148.91	$208.47