Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $211.15 / $1,749.77	Facility		$77.20	$211.15	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $51.67 / $84.04	Professional		$33.68	$51.67	$84.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $42.33 / $54.09	Professional		$16.43	$42.33	$54.09
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 $38.47 / $63.78 / $105.55	Professional		$38.47	$63.78	$105.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.89 / $99.91 / $158.33	Professional	50	$67.89	$99.91	$158.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $1,306.21 / $1,351.93	Facility		$62.56	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $83.62 / $154.00	Professional		$51.75	$83.62	$154.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $81.33 / $151.72	Professional		$44.46	$81.33	$151.72
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 $63.68 / $83.06 / $156.00	Professional		$63.68	$83.06	$156.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $44.27 / $61.67	Professional		$29.23	$44.27	$61.67