Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,693.00 / $9,859.00	Facility		$100.00	$2,693.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.01 / $749.44 / $1,085.21	Professional		$552.01	$749.44	$1,085.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $570.91 / $570.91 / $656.55	Professional		$570.91	$570.91	$656.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.70 / $942.01 / $1,322.09	Professional		$570.70	$942.01	$1,322.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.60 / $2,472.40 / $2,558.92	Facility		$978.60	$2,472.40	$2,558.92
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $97.86	Facility	AS	$97.86	$97.86	$97.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.87 / $1,229.03 / $2,186.23	Professional		$783.87	$1,229.03	$2,186.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $707.39 / $1,237.67 / $2,305.63	Professional		$707.39	$1,237.67	$2,305.63
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.11 / $1,196.69 / $2,225.57	Professional		$901.11	$1,196.69	$2,225.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $460.99 / $640.11 / $768.13	Professional		$460.99	$640.11	$768.13