Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.63 / $1,465.36 / $4,243.35	Facility		$285.63	$1,465.36	$4,243.35
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $403.44 / $403.44 / $732.68	Facility	52	$403.44	$403.44	$732.68
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $65.89 / $161.37 / $500.46	Facility	53	$65.89	$161.37	$500.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.61 / $359.26 / $580.66	Professional		$203.61	$359.26	$580.66
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $45.67 / $86.48 / $215.99	Professional	53	$45.67	$86.48	$215.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $421.77 / $584.54	Professional		$168.93	$421.77	$584.54
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $61.57 / $61.57 / $146.57	Professional	53	$61.57	$61.57	$146.57
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 $177.26 / $399.00 / $679.49	Professional		$177.26	$399.00	$679.49
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $88.95 / $200.23 / $280.74	Professional	53	$88.95	$200.23	$280.74
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 $258.23 / $507.27 / $1,002.91	Professional		$258.23	$507.27	$1,002.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $220.47 / $469.08 / $1,052.97	Professional		$220.47	$469.08	$1,052.97
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 $415.16 / $587.00 / $1,394.36	Professional		$415.16	$587.00	$1,394.36
United Facility/Professional Professional Modifier 53 Low / Median / High Price $267.31 / $267.31 / $267.31	Professional	53	$267.31	$267.31	$267.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $289.49 / $442.89	Professional		$159.72	$289.49	$442.89
Well Sense Facility/Professional Professional Modifier 53 Low / Median / High Price $25.85 / $34.90 / $38.78	Professional	53	$25.85	$34.90	$38.78