Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $1,442.16 / $4,992.10	Facility		$148.69	$1,442.16	$4,992.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,956.73 / $2,956.73 / $2,956.73	Facility	50	$2,956.73	$2,956.73	$2,956.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $40.74 / $107.05	Professional		$33.51	$40.74	$107.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $44.77 / $101.09	Professional		$30.17	$44.77	$101.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $73.69 / $157.05	Professional		$38.88	$73.69	$157.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $96.61 / $236.86	Professional		$44.87	$96.61	$236.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $98.75 / $279.22	Professional		$37.57	$98.75	$279.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $123.13 / $247.65	Professional		$54.69	$123.13	$247.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $44.75 / $93.37	Professional		$28.72	$44.75	$93.37