Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.78 / $119.54 / $421.20	Facility		$49.78	$119.54	$421.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $276.26 / $276.26 / $276.26	Facility	50	$276.26	$276.26	$276.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $62.19 / $118.32	Professional		$36.94	$62.19	$118.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $162.88 / $225.75	Professional		$55.45	$162.88	$225.75
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 $40.40 / $66.28 / $96.83	Professional		$40.40	$66.28	$96.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.68 / $99.43 / $145.24	Professional	50	$59.68	$99.43	$145.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $68.02 / $68.02	Facility		$68.02	$68.02	$68.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $99.51 / $183.59	Professional		$57.11	$99.51	$183.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $93.58 / $191.25	Professional		$49.72	$93.58	$191.25
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 $79.19 / $101.25 / $176.91	Professional		$79.19	$101.25	$176.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $51.12 / $72.23	Professional		$34.22	$51.12	$72.23