Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,991.99 / $10,209.89	Facility		$100.00	$1,991.99	$10,209.89
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,357.76 / $5,357.76 / $5,357.76	Facility	22	$5,357.76	$5,357.76	$5,357.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.82 / $697.08 / $1,089.98	Professional		$539.82	$697.08	$1,089.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $565.16 / $983.82	Professional		$565.16	$565.16	$983.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.64 / $1,036.08 / $1,596.78	Professional		$601.64	$1,036.08	$1,596.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $1,751.69 / $1,812.99	Facility		$691.89	$1,751.69	$1,812.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $68.64	Facility	AS	$68.64	$68.64	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.72 / $1,061.63 / $1,639.51	Professional		$752.72	$1,061.63	$1,639.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $688.76 / $1,129.98 / $2,125.86	Professional		$688.76	$1,129.98	$2,125.86
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.17 / $820.09 / $1,729.52	Professional		$685.17	$820.09	$1,729.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $472.55 / $555.00 / $833.58	Professional		$472.55	$555.00	$833.58