Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,320.12 / $3,461.17	Facility		$100.00	$1,320.12	$3,461.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $780.14 / $1,032.01	Professional		$137.91	$780.14	$1,032.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $117.72 / $117.72	Professional		$117.72	$117.72	$117.72
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 $161.61 / $277.64 / $1,206.49	Professional		$161.61	$277.64	$1,206.49
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 $188.83 / $492.62 / $2,329.63	Professional		$188.83	$492.62	$2,329.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $694.35 / $2,293.06	Professional		$160.93	$694.35	$2,293.06
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $3,884.00 / $8,611.00	Facility		$864.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.10 / $1,509.10 / $2,803.41	Professional		$1,052.10	$1,509.10	$2,803.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $702.14 / $1,053.21	Professional		$119.15	$702.14	$1,053.21