Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $131.83 / $575.44	Facility		$41.69	$131.83	$575.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	50	$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $128.82	Professional		$30.20	$52.48	$128.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $120.23 / $213.80	Professional	50	$69.18	$120.23	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $154.88	Professional		$147.91	$147.91	$154.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $109.65 / $134.90	Professional	50	$87.10	$109.65	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $48.98 / $69.18	Professional		$23.44	$48.98	$69.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $74.13 / $104.71	Professional	50	$34.67	$74.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $77.62 / $165.96	Professional		$35.48	$77.62	$165.96
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $70.79 / $144.54	Professional		$28.84	$70.79	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $144.54	Professional		$32.36	$67.61	$144.54
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $77.62	Facility		$48.98	$48.98	$77.62
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	50	$74.13	$74.13	$74.13