Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $637.37 / $2,933.10	Facility		$100.00	$637.37	$2,933.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $140.03 / $140.03 / $318.69	Facility	52	$140.03	$140.03	$318.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.01 / $56.01 / $127.47	Facility	53	$56.01	$56.01	$127.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $164.69 / $335.73	Professional		$71.00	$164.69	$335.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $83.54 / $97.46	Professional		$81.20	$83.54	$97.46
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 $85.17 / $167.93 / $545.57	Professional		$85.17	$167.93	$545.57
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 $102.29 / $279.17 / $833.09	Professional		$102.29	$279.17	$833.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $285.91 / $874.19	Professional		$87.31	$285.91	$874.19
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 $236.24 / $427.83 / $802.75	Professional		$236.24	$427.83	$802.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $155.10 / $328.08	Professional		$61.95	$155.10	$328.08