Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $105.98 / $540.71	Facility		$41.92	$105.98	$540.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $629.40 / $629.40 / $629.40	Facility	50	$629.40	$629.40	$629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $48.02 / $80.75	Professional		$32.64	$48.02	$80.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.87 / $147.87 / $147.87	Professional		$147.87	$147.87	$147.87
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 $25.25 / $43.26 / $68.73	Professional		$25.25	$43.26	$68.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.84 / $64.89 / $100.41	Professional	50	$37.84	$64.89	$100.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Facility		$44.88	$44.88	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $82.08 / $164.42	Professional		$36.79	$82.08	$164.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $73.48 / $173.79	Professional		$31.53	$73.48	$173.79
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 $64.59 / $86.70 / $170.84	Professional		$64.59	$86.70	$170.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $40.13 / $70.64	Professional		$23.31	$40.13	$70.64