Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $512.86 / $8,912.51	Facility		$147.91	$512.86	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $125.89	Professional		$35.48	$61.66	$125.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $112.20 / $275.42	Professional	50	$89.13	$112.20	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $186.21	Professional		$53.70	$70.79	$186.21
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 $31.62 / $67.61 / $109.65	Professional		$31.62	$67.61	$109.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $107.15 / $165.96	Professional	50	$46.77	$107.15	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $144.54	Professional		$47.86	$77.62	$144.54
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 $38.90 / $69.18 / $128.82	Professional		$38.90	$69.18	$128.82
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 $40.74 / $69.18 / $125.89	Professional		$40.74	$69.18	$125.89
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $64.57	Facility		$39.81	$39.81	$64.57
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	50	$60.26	$60.26	$60.26