Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.14 / $609.41 / $3,256.20	Facility		$101.14	$609.41	$3,256.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $93.55 / $93.55 / $273.56	Facility	52	$93.55	$93.55	$273.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.42 / $37.42 / $109.42	Facility	53	$37.42	$37.42	$109.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $234.32 / $664.86	Professional		$96.65	$234.32	$664.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $290.45 / $290.45	Professional		$290.45	$290.45	$290.45
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 $133.31 / $230.65 / $554.51	Professional		$133.31	$230.65	$554.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $395.14 / $940.46	Professional		$163.88	$395.14	$940.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $366.89 / $1,050.36	Professional		$135.44	$366.89	$1,050.36
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.66 / $740.06 / $1,219.45	Professional		$427.66	$740.06	$1,219.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $275.08 / $563.38	Professional		$95.59	$275.08	$563.38