Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.34 / $2,188.44 / $5,371.38	Facility		$210.34	$2,188.44	$5,371.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $321.88 / $644.47 / $951.50	Facility	52	$321.88	$644.47	$951.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.75 / $128.75 / $257.79	Facility	53	$128.75	$128.75	$257.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $238.79 / $466.58	Professional		$134.68	$238.79	$466.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $186.52 / $437.99	Professional		$121.24	$186.52	$437.99
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 $166.66 / $370.97 / $817.07	Professional		$166.66	$370.97	$817.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.99 / $440.87 / $1,090.40	Professional		$195.99	$440.87	$1,090.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $429.25 / $1,147.57	Professional		$164.95	$429.25	$1,147.57
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 $395.15 / $564.33 / $1,084.86	Professional		$395.15	$564.33	$1,084.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $300.95 / $421.34	Professional		$119.36	$300.95	$421.34