Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.93 / $1,740.29 / $5,719.90	Facility		$257.93	$1,740.29	$5,719.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $152.77 / $375.99 / $375.99	Facility	52	$152.77	$375.99	$375.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.11 / $150.40 / $150.40	Facility	53	$61.11	$150.40	$150.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.28 / $214.06 / $644.15	Professional		$184.28	$214.06	$644.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $195.20 / $206.82	Professional		$156.41	$195.20	$206.82
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 $212.12 / $434.59 / $836.54	Professional		$212.12	$434.59	$836.54
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 $245.20 / $489.00 / $1,105.09	Professional		$245.20	$489.00	$1,105.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $480.90 / $1,177.72	Professional		$210.42	$480.90	$1,177.72
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 $200.99 / $540.33 / $1,381.87	Professional		$200.99	$540.33	$1,381.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $262.81 / $415.81	Professional		$148.61	$262.81	$415.81