Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,764.10 / $9,913.69	Facility		$100.00	$3,764.10	$9,913.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.28 / $242.56 / $376.73	Professional		$182.28	$242.56	$376.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $203.06 / $203.06	Professional		$203.06	$203.06	$203.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.75 / $354.20 / $564.10	Professional		$204.75	$354.20	$564.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.34 / $5,257.46 / $5,441.47	Facility		$239.34	$5,257.46	$5,441.47
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $146.80 / $146.80 / $146.80	Facility	62	$146.80	$146.80	$146.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.49 / $23.49 / $23.49	Facility	AS	$23.49	$23.49	$23.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $386.59 / $612.15	Professional		$261.14	$386.59	$612.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.40 / $368.76 / $723.48	Professional		$234.40	$368.76	$723.48
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.12 / $357.07 / $628.40	Professional		$246.12	$357.07	$628.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $164.64 / $197.57 / $290.42	Professional		$164.64	$197.57	$290.42