Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $36.00	Facility		$30.00	$30.00	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $26.63 / $26.63	Professional		$26.63	$26.63	$26.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $40.58 / $45.09	Facility		$38.04	$40.58	$45.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $41.29 / $41.29	Professional		$40.00	$41.29	$41.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Facility		$44.32	$44.32	$44.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $61.21	Professional		$40.36	$40.36	$61.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.16 / $36.93	Professional		$14.77	$22.16	$36.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $45.51 / $57.92	Professional		$41.37	$45.51	$57.92