Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $1,248.47 / $2,368.80	Facility		$69.84	$1,248.47	$2,368.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.24 / $118.03 / $779.63	Facility	52	$63.24	$118.03	$779.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $103.50 / $154.09	Professional		$64.31	$103.50	$154.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $166.85 / $431.12	Professional		$91.35	$166.85	$431.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $135.76 / $222.53	Professional		$78.06	$135.76	$222.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $219.59 / $408.18	Professional		$133.16	$219.59	$408.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $216.94 / $456.03	Professional		$91.56	$216.94	$456.03
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.19 / $225.87 / $441.04	Professional		$176.19	$225.87	$441.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $102.20 / $149.33	Professional		$61.41	$102.20	$149.33