Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $208.47 / $2,331.21	Facility		$64.38	$208.47	$2,331.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $607.39 / $607.39 / $607.39	Facility	50	$607.39	$607.39	$607.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $58.76 / $108.88	Professional		$38.04	$58.76	$108.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $73.20 / $199.65	Professional	50	$73.20	$73.20	$199.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $70.72 / $135.84	Professional		$54.40	$70.72	$135.84
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 $39.79 / $58.83 / $93.63	Professional		$39.79	$58.83	$93.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.70 / $88.24 / $141.05	Professional	50	$59.70	$88.24	$141.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $1,306.21 / $1,351.93	Facility		$66.77	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $88.08 / $161.40	Professional		$54.61	$88.08	$161.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $86.53 / $160.90	Professional		$47.30	$86.53	$160.90
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 $66.68 / $88.88 / $163.19	Professional		$66.68	$88.88	$163.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $44.25 / $62.13	Professional		$30.50	$44.25	$62.13