Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $616.32 / $9,777.60	Facility		$100.00	$616.32	$9,777.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $293.55 / $460.76	Professional		$230.18	$293.55	$460.76
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $77.73 / $77.73 / $77.73	Professional	AS	$77.73	$77.73	$77.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.89 / $248.31 / $403.73	Professional		$235.89	$248.31	$403.73
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $39.72 / $39.72 / $39.72	Professional	AS	$39.72	$39.72	$39.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $429.32 / $664.30	Professional		$250.36	$429.32	$664.30
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $35.04 / $60.10 / $93.00	Professional	AS	$35.04	$60.10	$93.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $292.55 / $292.55	Facility		$292.55	$292.55	$292.55
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.72 / $479.37 / $746.12	Professional		$325.72	$479.37	$746.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $450.89 / $884.62	Professional		$286.61	$450.89	$884.62
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 $289.22 / $408.23 / $717.48	Professional		$289.22	$408.23	$717.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $222.12 / $277.86 / $394.98	Professional		$222.12	$277.86	$394.98