Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,479.11 / $9,772.37	Facility		$100.00	$1,479.11	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $630.96	Professional		$181.97	$371.54	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,000.00 / $18,197.01	Facility		$8,912.51	$10,000.00	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $478.63	Professional		$162.18	$338.84	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $1,096.48	Professional		$239.88	$524.81	$1,096.48
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $457.09 / $912.01	Professional		$199.53	$457.09	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $512.86 / $933.25	Professional		$218.78	$512.86	$933.25
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $489.78	Facility		$302.00	$302.00	$489.78