Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $100.00 / $8,965.00	Facility		$76.47	$100.00	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $67.64 / $99.17	Professional		$41.53	$67.64	$99.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $82.11 / $82.11	Professional		$82.11	$82.11	$82.11
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 $56.06 / $87.72 / $155.07	Professional		$56.06	$87.72	$155.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.09 / $131.58 / $232.60	Professional	50	$84.09	$131.58	$232.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $79.31 / $79.31	Facility		$79.31	$79.31	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $116.58 / $216.71	Professional		$64.40	$116.58	$216.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $107.59 / $229.89	Professional		$56.18	$107.59	$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 $94.09 / $118.66 / $227.90	Professional		$94.09	$118.66	$227.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $60.30 / $84.42	Professional		$36.51	$60.30	$84.42