Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $202.82 / $2,331.21	Facility		$54.17	$202.82	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $101.21 / $243.21	Professional		$60.09	$101.21	$243.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.92 / $43.65 / $61.14	Professional	52	$26.92	$43.65	$61.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $129.58 / $267.27	Professional		$129.58	$129.58	$267.27
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 $67.59 / $103.00 / $162.04	Professional		$67.59	$103.00	$162.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.40 / $154.51 / $243.06	Professional	50	$101.40	$154.51	$243.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $151.30 / $289.83	Professional		$79.51	$151.30	$289.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $188.15 / $353.41	Professional		$88.18	$188.15	$353.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $188.77 / $401.95	Professional		$110.84	$188.77	$401.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $89.80 / $125.72	Professional		$58.61	$89.80	$125.72