Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.18 / $2,331.21	Facility		$100.00	$239.18	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $134.47 / $188.23	Professional		$30.55	$134.47	$188.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $28.29 / $67.90	Professional		$26.50	$28.29	$67.90
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 $36.54 / $74.41 / $258.79	Professional		$36.54	$74.41	$258.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $124.60 / $404.13	Professional		$41.99	$124.60	$404.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $140.12 / $454.03	Professional		$35.20	$140.12	$454.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $257.16 / $456.19	Professional		$156.63	$257.16	$456.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $124.04 / $201.33	Professional		$26.46	$124.04	$201.33