Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.65 / $979.64 / $3,672.38	Facility		$153.65	$979.64	$3,672.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $253.93 / $272.02 / $556.98	Facility	52	$253.93	$272.02	$556.98
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $101.57 / $108.81 / $222.79	Facility	53	$101.57	$108.81	$222.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $272.35 / $465.80	Professional		$129.69	$272.35	$465.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $163.66 / $389.86	Professional		$132.58	$163.66	$389.86
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 $148.47 / $322.97 / $625.12	Professional		$148.47	$322.97	$625.12
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 $173.60 / $366.91 / $833.09	Professional		$173.60	$366.91	$833.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $349.80 / $887.72	Professional		$146.85	$349.80	$887.72
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 $334.19 / $450.33 / $812.90	Professional		$334.19	$450.33	$812.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $224.98 / $337.47	Professional		$105.93	$224.98	$337.47