Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $120.72 / $344.70	Facility		$28.61	$120.72	$344.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $25.65 / $39.61	Professional		$16.14	$25.65	$39.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.35 / $26.48	Professional		$19.35	$19.35	$26.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $39.71 / $39.71 / $39.71	Professional	50	$39.71	$39.71	$39.71
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 $16.82 / $28.02 / $44.63	Professional		$16.82	$28.02	$44.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $25.23 / $43.00 / $66.95	Professional	50	$25.23	$43.00	$66.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $30.07 / $30.07	Facility		$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $41.93 / $78.39	Professional		$24.28	$41.93	$78.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $39.36 / $78.17	Professional		$21.02	$39.36	$78.17
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 $34.04 / $49.68 / $84.85	Professional		$34.04	$49.68	$84.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $25.74 / $39.47	Professional		$15.06	$25.74	$39.47