Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.26 / $500.46 / $2,331.21	Facility		$100.26	$500.46	$2,331.21
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.13 / $115.13 / $250.23	Facility	52	$115.13	$115.13	$250.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.05 / $46.05 / $100.09	Facility	53	$46.05	$46.05	$100.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $129.75 / $230.25	Professional		$62.70	$129.75	$230.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $76.87 / $334.91	Professional		$32.03	$76.87	$334.91
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 $66.95 / $132.01 / $355.45	Professional		$66.95	$132.01	$355.45
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 $80.48 / $217.99 / $539.90	Professional		$80.48	$217.99	$539.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $206.26 / $578.99	Professional		$68.80	$206.26	$578.99
United Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $3,624.00 / $8,035.00	Facility		$696.00	$3,624.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $341.16 / $654.90	Professional		$190.91	$341.16	$654.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $123.05 / $198.49	Professional		$48.52	$123.05	$198.49