Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,737.80 / $3,630.78	Facility		$169.82	$1,737.80	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $251.19 / $512.86	Professional		$112.20	$251.19	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $239.88	Professional		$97.72	$109.65	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $295.12	Professional		$95.50	$208.93	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $645.65	Professional		$141.25	$295.12	$645.65
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $302.00 / $645.65	Professional		$117.49	$302.00	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $295.12 / $616.60	Professional		$120.23	$295.12	$616.60
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $323.59	Facility		$204.17	$204.17	$323.59