Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.21 / $996.98 / $6,947.98	Facility		$184.21	$996.98	$6,947.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $132.97 / $327.69 / $918.33	Facility	52	$132.97	$327.69	$918.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $53.19 / $131.08 / $367.33	Facility	53	$53.19	$131.08	$367.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.05 / $185.43 / $1,331.39	Professional		$161.05	$185.43	$1,331.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $175.23 / $892.14	Professional		$169.91	$175.23	$892.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $459.18 / $2,320.85	Professional		$184.84	$459.18	$2,320.85
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 $215.42 / $470.00 / $3,164.54	Professional		$215.42	$470.00	$3,164.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $964.41 / $3,184.94	Professional		$183.06	$964.41	$3,184.94
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 $228.72 / $1,637.26 / $3,189.68	Professional		$228.72	$1,637.26	$3,189.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $227.56 / $1,248.79	Professional		$129.47	$227.56	$1,248.79