Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $147.74 / $564.13	Facility		$14.70	$147.74	$564.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $37.52	Professional		$14.73	$14.73	$37.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $26.17 / $26.17	Professional		$26.17	$26.17	$26.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $22.10 / $60.63	Facility		$17.61	$22.10	$60.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.73 / $14.73	Professional		$14.70	$14.73	$14.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $14.73 / $14.73	Facility		$13.90	$14.73	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $22.34 / $45.46	Professional		$14.73	$22.34	$45.46
United Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $14.73 / $15.06	Professional		$14.48	$14.73	$15.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $16.91 / $25.54	Professional		$14.48	$16.91	$25.54