Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $9,772.37	Facility		$204.17	$338.84	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $102.33 / $245.47	Professional		$42.66	$102.33	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $109.65 / $223.87	Professional		$40.74	$109.65	$223.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $165.96 / $338.84	Professional	50	$61.66	$165.96	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $131.83 / $309.03	Professional		$52.48	$131.83	$309.03
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $131.83 / $309.03	Professional		$50.12	$131.83	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $309.03	Professional		$58.88	$125.89	$309.03
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Facility		$131.83	$131.83	$162.18