Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,214.69 / $3,074.85	Facility		$100.00	$1,214.69	$3,074.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $379.08 / $619.57	Professional		$299.52	$379.08	$619.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $354.08 / $513.41	Professional		$354.08	$354.08	$513.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $581.47 / $892.12	Professional		$349.02	$581.47	$892.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.37 / $2,000.36 / $2,070.38	Facility		$401.37	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.72 / $688.14 / $1,045.33	Professional		$464.72	$688.14	$1,045.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $399.55 / $655.50 / $1,233.21	Professional		$399.55	$655.50	$1,233.21
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.25 / $560.16 / $1,023.45	Professional		$410.25	$560.16	$1,023.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $324.89 / $512.78	Professional		$270.74	$324.89	$512.78