Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $464.51 / $2,331.21	Facility		$100.00	$464.51	$2,331.21
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $192.53 / $192.53 / $395.56	Facility	52	$192.53	$192.53	$395.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $77.01 / $77.01 / $158.22	Facility	53	$77.01	$77.01	$158.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $216.03 / $326.62	Professional		$93.21	$216.03	$326.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $97.91 / $97.91	Professional		$78.26	$97.91	$97.91
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 $106.06 / $251.98 / $572.24	Professional		$106.06	$251.98	$572.24
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 $125.23 / $320.38 / $766.07	Professional		$125.23	$320.38	$766.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $299.45 / $809.74	Professional		$105.41	$299.45	$809.74
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.66 / $371.94 / $776.04	Professional		$248.66	$371.94	$776.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $194.08 / $303.27	Professional		$75.47	$194.08	$303.27