Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $602.56 / $8,912.51	Facility		$100.00	$602.56	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $147.91	Professional		$38.02	$64.57	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $229.09 / $316.23	Professional	50	$109.65	$229.09	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $138.04	Professional		$51.29	$72.44	$138.04
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 $32.36 / $66.07 / $104.71	Professional		$32.36	$66.07	$104.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $109.65 / $169.82	Professional	50	$47.86	$109.65	$169.82
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 $48.98 / $81.28 / $147.91	Professional		$48.98	$81.28	$147.91
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 $39.81 / $72.44 / $131.83	Professional		$39.81	$72.44	$131.83
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 $42.66 / $70.79 / $128.82	Professional		$42.66	$70.79	$128.82
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $67.61	Facility		$41.69	$41.69	$67.61
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	50	$63.10	$63.10	$63.10