Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $196.49 / $1,749.77	Facility		$90.29	$196.49	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.26 / $83.51	Professional		$32.34	$47.26	$83.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $74.34 / $86.50	Professional		$53.11	$74.34	$86.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.67 / $79.67 / $79.67	Professional	50	$79.67	$79.67	$79.67
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 $43.61 / $64.09 / $103.01	Professional		$43.61	$64.09	$103.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.41 / $97.18 / $154.52	Professional	50	$65.41	$97.18	$154.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $1,306.21 / $1,351.93	Facility		$60.85	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $79.90 / $147.63	Professional		$50.26	$79.90	$147.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.25 / $79.12 / $148.96	Professional		$43.25	$79.12	$148.96
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 $62.52 / $79.93 / $322.95	Professional		$62.52	$79.93	$322.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $42.29 / $58.79	Professional		$28.12	$42.29	$58.79