Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.69 / $100.00 / $2,331.21	Facility		$70.69	$100.00	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $74.67 / $113.30	Professional		$47.50	$74.67	$113.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $101.92 / $101.92	Professional		$101.92	$101.92	$101.92
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 $63.12 / $98.56 / $171.95	Professional		$63.12	$98.56	$171.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.68 / $147.84 / $258.47	Professional	50	$94.68	$147.84	$258.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.02 / $89.02 / $89.02	Facility		$89.02	$89.02	$89.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $130.01 / $240.74	Professional		$73.31	$130.01	$240.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $119.81 / $248.26	Professional		$63.06	$119.81	$248.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $128.34 / $251.92	Professional		$99.98	$128.34	$251.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $66.61 / $93.25	Professional		$41.10	$66.61	$93.25