Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $763.38 / $2,331.21	Facility		$100.00	$763.38	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $326.16 / $572.53 / $638.99	Facility	54	$326.16	$572.53	$638.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $264.17 / $373.79	Professional		$224.09	$264.17	$373.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $278.56 / $278.56	Professional		$278.56	$278.56	$278.56
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 $255.55 / $394.23 / $542.74	Professional		$255.55	$394.23	$542.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.44 / $423.44 / $423.44	Facility		$423.44	$423.44	$423.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.41 / $296.41 / $296.41	Facility	54	$296.41	$296.41	$296.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.56 / $504.15 / $774.92	Professional		$332.56	$504.15	$774.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.49 / $479.67 / $889.19	Professional		$302.49	$479.67	$889.19
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 $318.74 / $454.39 / $898.56	Professional		$318.74	$454.39	$898.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $231.57 / $315.77	Professional		$190.59	$231.57	$315.77