Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $392.35 / $2,532.34	Facility		$100.00	$392.35	$2,532.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $96.34 / $123.00	Professional		$54.60	$96.34	$123.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $46.46 / $46.46	Professional		$46.46	$46.46	$46.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $108.54 / $182.50	Professional		$62.59	$108.54	$182.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $138.50 / $267.60	Professional		$71.20	$138.50	$267.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $130.44 / $293.12	Professional		$63.97	$130.44	$293.12
United Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $3,624.00 / $8,035.00	Facility		$696.00	$3,624.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $154.35 / $300.52	Professional		$115.42	$154.35	$300.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $80.89 / $121.34	Professional		$46.54	$80.89	$121.34