Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $112.93 / $1,869.94	Facility		$75.43	$112.93	$1,869.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $421.43 / $438.46 / $3,864.13	Facility	50	$421.43	$438.46	$3,864.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $85.90 / $130.02	Professional		$55.86	$85.90	$130.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.26 / $123.26 / $265.02	Professional	50	$123.26	$123.26	$265.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $112.42 / $141.75	Professional		$97.76	$112.42	$141.75
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $146.63 / $146.63 / $482.08	Professional	50	$146.63	$146.63	$482.08
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 $72.25 / $111.91 / $190.12	Professional		$72.25	$111.91	$190.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $108.37 / $167.87 / $285.18	Professional	50	$108.37	$167.87	$285.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $100.78 / $100.78	Facility		$100.78	$100.78	$100.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $144.41 / $268.85	Professional		$83.53	$144.41	$268.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $134.65 / $274.01	Professional		$71.54	$134.65	$274.01
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 $108.56 / $151.13 / $281.32	Professional		$108.56	$151.13	$281.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $74.39 / $104.15	Professional		$46.85	$74.39	$104.15