Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $453.36 / $6,067.00	Facility		$100.00	$453.36	$6,067.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $140.91 / $140.91 / $339.49	Facility	52	$140.91	$140.91	$339.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $175.83 / $490.11	Professional		$69.95	$175.83	$490.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.95 / $86.18 / $140.91	Professional	52	$24.95	$86.18	$140.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $526.46 / $526.46 / $526.46	Professional		$526.46	$526.46	$526.46
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 $66.09 / $141.63 / $350.63	Professional		$66.09	$141.63	$350.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $254.33 / $523.58	Professional		$91.53	$254.33	$523.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $220.59 / $645.86	Professional		$81.43	$220.59	$645.86
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 $265.38 / $367.45 / $658.64	Professional		$265.38	$367.45	$658.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $141.43 / $217.76	Professional		$54.41	$141.43	$217.76