Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.79 / $550.54 / $1,070.09	Facility		$298.79	$550.54	$1,070.09
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $433.59 / $653.97 / $725.96	Facility	54	$433.59	$653.97	$725.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $322.81 / $578.12	Professional		$247.37	$322.81	$578.12
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $220.91 / $236.24 / $325.31	Professional	54	$220.91	$236.24	$325.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.74 / $425.74 / $425.74	Professional		$425.74	$425.74	$425.74
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 $334.14 / $512.20 / $715.28	Professional		$334.14	$512.20	$715.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $501.21 / $768.30 / $1,077.23	Professional	50	$501.21	$768.30	$1,077.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.70 / $560.70 / $560.70	Facility		$560.70	$560.70	$560.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $392.49 / $392.49 / $392.49	Facility	54	$392.49	$392.49	$392.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $662.03 / $1,032.32	Professional		$431.00	$662.03	$1,032.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $398.81 / $627.41 / $1,180.65	Professional		$398.81	$627.41	$1,180.65
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 $364.15 / $546.10 / $1,002.79	Professional		$364.15	$546.10	$1,002.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $217.49 / $295.99 / $407.98	Professional		$217.49	$295.99	$407.98