Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $691.83 / $7,079.46	Facility		$630.96	$691.83	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $741.31	Professional		$588.84	$616.60	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $2,344.23	Facility		$489.78	$1,202.26	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $741.31	Professional		$630.96	$645.65	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,412.54	Facility		$645.65	$645.65	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,047.13	Professional		$645.65	$645.65	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,000.00	Facility		$630.96	$630.96	$1,000.00