Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $719.75 / $9,859.00	Facility		$100.00	$719.75	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.13 / $440.71 / $650.41	Professional		$389.13	$440.71	$650.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.44 / $261.44 / $261.44	Professional		$261.44	$261.44	$261.44
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 $421.15 / $722.19 / $1,076.50	Professional		$421.15	$722.19	$1,076.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $5,257.46 / $5,441.47	Facility		$484.32	$5,257.46	$5,441.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.39 / $759.65 / $1,256.27	Professional		$567.39	$759.65	$1,256.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $482.13 / $790.98 / $1,488.09	Professional		$482.13	$790.98	$1,488.09
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 $491.51 / $651.17 / $1,278.22	Professional		$491.51	$651.17	$1,278.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $401.88 / $590.76	Professional		$334.90	$401.88	$590.76