Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.01 / $560.04 / $909.18	Professional		$187.01	$560.04	$909.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.60 / $331.60 / $331.60	Professional		$331.60	$331.60	$331.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.39 / $5,186.00 / $8,238.00	Facility		$4,667.39	$5,186.00	$8,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.19 / $617.39 / $1,501.86	Professional		$315.19	$617.39	$1,501.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.00 / $1,069.27 / $2,585.28	Professional		$533.00	$1,069.27	$2,585.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $407.84 / $936.81 / $2,695.04	Professional		$407.84	$936.81	$2,695.04
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 $1,122.03 / $1,514.51 / $3,115.76	Professional		$1,122.03	$1,514.51	$3,115.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $225.34 / $657.57 / $986.36	Professional		$225.34	$657.57	$986.36