Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.98 / $1,244.53 / $2,341.64	Facility		$349.98	$1,244.53	$2,341.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $576.54 / $622.27 / $1,161.16	Facility	52	$576.54	$622.27	$1,161.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $230.62 / $248.91 / $464.46	Facility	53	$230.62	$248.91	$464.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $597.94 / $905.31	Professional		$308.61	$597.94	$905.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.59 / $342.65 / $342.65	Professional		$228.59	$342.65	$342.65
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 $248.48 / $577.32 / $948.57	Professional		$248.48	$577.32	$948.57
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 $356.32 / $766.60 / $1,936.29	Professional		$356.32	$766.60	$1,936.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $307.77 / $789.40 / $2,014.49	Professional		$307.77	$789.40	$2,014.49
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 $817.68 / $1,256.39 / $2,553.29	Professional		$817.68	$1,256.39	$2,553.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $223.37 / $465.21 / $793.11	Professional		$223.37	$465.21	$793.11