Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.81 / $1,979.75 / $4,916.92	Facility		$199.81	$1,979.75	$4,916.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.79 / $356.12 / $361.43	Facility	52	$143.79	$356.12	$361.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $200.76 / $512.79	Professional		$174.28	$200.76	$512.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $183.74 / $183.74	Professional		$183.74	$183.74	$183.74
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 $199.99 / $445.16 / $896.76	Professional		$199.99	$445.16	$896.76
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 $232.99 / $491.24 / $1,193.83	Professional		$232.99	$491.24	$1,193.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $494.90 / $1,262.94	Professional		$197.95	$494.90	$1,262.94
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 $189.66 / $596.25 / $1,127.84	Professional		$189.66	$596.25	$1,127.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $246.13 / $437.16	Professional		$140.63	$246.13	$437.16