Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.04 / $1,759.84 / $5,883.30	Facility		$290.04	$1,759.84	$5,883.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $486.43 / $879.92 / $1,263.31	Facility	52	$486.43	$879.92	$1,263.31
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $194.57 / $194.57 / $351.97	Facility	53	$194.57	$194.57	$351.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.24 / $429.79 / $711.42	Professional		$238.24	$429.79	$711.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $121.43 / $217.23 / $270.25	Professional	52	$121.43	$217.23	$270.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $48.57 / $86.89 / $106.84	Professional	53	$48.57	$86.89	$106.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $228.74 / $635.66	Professional		$175.95	$228.74	$635.66
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $44.62 / $44.62 / $44.62	Professional	52	$44.62	$44.62	$44.62
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 $192.79 / $433.95 / $739.02	Professional		$192.79	$433.95	$739.02
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 $280.79 / $573.95 / $1,249.83	Professional		$280.79	$573.95	$1,249.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $239.79 / $548.02 / $1,332.59	Professional		$239.79	$548.02	$1,332.59
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 $523.27 / $692.32 / $1,521.12	Professional		$523.27	$692.32	$1,521.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $353.72 / $530.58	Professional		$172.95	$353.72	$530.58