Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $181.48 / $1,749.77	Facility		$63.65	$181.48	$1,749.77
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $531.15 / $850.67 / $2,133.00	Facility	50	$531.15	$850.67	$2,133.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.44 / $90.74 / $136.52	Facility	52	$37.44	$90.74	$136.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $66.91 / $110.39	Professional		$41.81	$66.91	$110.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.30 / $100.65 / $211.11	Professional	50	$63.30	$100.65	$211.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $72.68 / $152.07	Professional		$60.91	$72.68	$152.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $96.17 / $100.01 / $228.10	Professional	50	$96.17	$100.01	$228.10
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 $55.24 / $80.59 / $124.62	Professional		$55.24	$80.59	$124.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.86 / $120.90 / $186.93	Professional	50	$82.86	$120.90	$186.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $1,306.21 / $1,351.93	Facility		$77.04	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.63 / $61.63 / $61.63	Facility	52	$61.63	$61.63	$61.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $98.63 / $180.12	Professional		$63.03	$98.63	$180.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $99.90 / $180.22	Professional		$54.97	$99.90	$180.22
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 $77.86 / $101.93 / $170.65	Professional		$77.86	$101.93	$170.65
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	50	$80.00	$80.00	$80.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $53.67 / $75.42	Professional		$35.78	$53.67	$75.42