Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,709.17 / $8,965.00	Facility		$100.00	$1,709.17	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.20 / $445.02 / $1,396.37	Professional		$373.20	$445.02	$1,396.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $771.13 / $771.13 / $771.13	Professional		$771.13	$771.13	$771.13
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 $567.54 / $925.09 / $1,374.47	Professional		$567.54	$925.09	$1,374.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $1,230.52 / $2,063.76	Professional		$743.60	$1,230.52	$2,063.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $625.80 / $1,241.48 / $2,061.48	Professional		$625.80	$1,241.48	$2,061.48
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.32 / $954.63 / $1,966.33	Professional		$638.32	$954.63	$1,966.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $476.40 / $751.92	Professional		$397.00	$476.40	$751.92