Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,235.94 / $9,120.11	Facility		$323.59	$3,235.94	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $1,047.13	Professional		$245.47	$426.58	$1,047.13
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $0.62 / $44.67 / $177.83	Professional	AS	$0.62	$44.67	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $812.83	Professional		$223.87	$363.08	$812.83
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $50.12 / $54.95 / $112.20	Professional	AS	$50.12	$54.95	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $489.78 / $691.83	Professional		$229.09	$489.78	$691.83
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $32.36 / $67.61 / $95.50	Professional	AS	$32.36	$67.61	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $776.25	Professional		$302.00	$446.68	$776.25
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $588.84	Professional		$269.15	$398.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $707.95	Professional		$275.42	$398.11	$707.95
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $302.00	Facility		$186.21	$186.21	$302.00
Well Sense Facility/Professional Facility Modifier 62 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	62	$107.15	$107.15	$107.15