Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $208.54 / $2,166.61	Facility		$77.64	$208.54	$2,166.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $75.03 / $134.46	Professional		$52.46	$75.03	$134.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.11 / $156.11 / $156.11	Professional	50	$156.11	$156.11	$156.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $169.50 / $169.50 / $169.50	Professional	50	$169.50	$169.50	$169.50
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 $70.18 / $101.85 / $155.22	Professional		$70.18	$101.85	$155.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $105.27 / $153.30 / $233.73	Professional	50	$105.27	$153.30	$233.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $1,306.21 / $1,351.93	Facility		$96.49	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $125.03 / $229.48	Professional		$79.50	$125.03	$229.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $125.65 / $229.89	Professional		$69.12	$125.65	$229.89
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 $90.24 / $115.99 / $212.23	Professional		$90.24	$115.99	$212.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $62.71 / $87.05	Professional		$44.79	$62.71	$87.05