Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $381.32 / $2,738.25	Facility		$91.56	$381.32	$2,738.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,453.24 / $2,861.78 / $5,476.50	Facility	50	$1,453.24	$2,861.78	$5,476.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $154.41 / $255.86	Professional		$77.88	$154.41	$255.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $228.35 / $275.52 / $275.52	Professional	50	$228.35	$275.52	$275.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $84.58 / $84.58	Professional		$84.58	$84.58	$84.58
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 $81.81 / $138.66 / $214.57	Professional		$81.81	$138.66	$214.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $121.30 / $208.01 / $321.86	Professional	50	$121.30	$208.01	$321.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Facility		$141.63	$141.63	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.58 / $234.43 / $458.13	Professional		$116.58	$234.43	$458.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $201.52 / $452.40	Professional		$101.06	$201.52	$452.40
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 $212.45 / $284.73 / $524.45	Professional		$212.45	$284.73	$524.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $129.38 / $201.99	Professional		$64.58	$129.38	$201.99