Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,182.06 / $6,067.00	Facility		$100.00	$3,182.06	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.10 / $763.99 / $3,182.06	Professional		$639.10	$763.99	$3,182.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,088.83 / $1,088.83 / $1,088.83	Professional		$1,088.83	$1,088.83	$1,088.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $17,300.00 / $28,708.24	Facility		$8,512.20	$17,300.00	$28,708.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.05 / $1,510.62 / $2,228.39	Professional		$1,020.05	$1,510.62	$2,228.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.08 / $1,830.66 / $2,497.57	Professional		$1,099.08	$1,830.66	$2,497.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $935.75 / $1,856.34 / $3,082.45	Professional		$935.75	$1,856.34	$3,082.45
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.47 / $1,485.49 / $2,875.89	Professional		$1,044.47	$1,485.49	$2,875.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $659.17 / $791.00 / $1,162.78	Professional		$659.17	$791.00	$1,162.78