Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.56 / $1,611.58 / $8,760.82	Facility		$422.56	$1,611.58	$8,760.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.75 / $422.56 / $990.95	Professional		$334.75	$422.56	$990.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $505.84 / $505.84 / $505.84	Professional		$505.84	$505.84	$505.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.07 / $636.73 / $995.73	Professional		$443.07	$636.73	$995.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.27 / $1,095.20 / $1,774.47	Professional		$607.27	$1,095.20	$1,774.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $538.37 / $996.50 / $1,803.53	Professional		$538.37	$996.50	$1,803.53
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $945.45 / $1,791.15	Professional		$634.00	$945.45	$1,791.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $334.49 / $440.04 / $619.34	Professional		$334.49	$440.04	$619.34