Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,398.83 / $9,772.37	Facility		$602.56	$2,398.83	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	50	$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $398.11	Professional		$112.20	$165.96	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $331.13	Professional	50	$223.87	$223.87	$331.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	50	$275.42	$275.42	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $436.52	Professional		$138.04	$302.00	$436.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $457.09 / $645.65	Professional	50	$204.17	$457.09	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $467.74	Professional		$199.53	$316.23	$467.74
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $426.58	Professional		$154.88	$251.19	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $537.03	Professional		$173.78	$275.42	$537.03