Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $543.29 / $13,543.75	Facility		$100.00	$543.29	$13,543.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $152.74 / $237.71	Professional		$129.76	$152.74	$237.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $229.90 / $331.68	Professional		$139.83	$229.90	$331.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $240.17 / $358.00	Professional		$140.06	$240.17	$358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $163.66	Facility		$163.66	$163.66	$163.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $268.93 / $420.60	Professional		$184.35	$268.93	$420.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $252.25 / $494.89	Professional		$160.34	$252.25	$494.89
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 $162.57 / $239.68 / $942.93	Professional		$162.57	$239.68	$942.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $137.44 / $202.05	Professional		$114.54	$137.44	$202.05