Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,153.24 / $8,965.00	Facility		$100.00	$1,153.24	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $253.23 / $763.04	Professional		$122.29	$253.23	$763.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $89.39	Professional		$89.39	$89.39	$89.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $227.31 / $1,121.42	Professional		$120.52	$227.31	$1,121.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $421.42 / $1,962.41	Professional		$142.44	$421.42	$1,962.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $605.59 / $1,999.95	Professional		$120.70	$605.59	$1,999.95
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.44 / $1,020.66 / $1,828.70	Professional		$737.44	$1,020.66	$1,828.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $562.19 / $3,000.00	Professional		$87.47	$562.19	$3,000.00