Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $1,154.26 / $5,793.67	Facility		$325.02	$1,154.26	$5,793.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $475.75 / $577.13 / $990.54	Facility	52	$475.75	$577.13	$990.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $221.35 / $230.85 / $396.21	Facility	53	$221.35	$230.85	$396.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.72 / $475.84 / $780.42	Professional		$289.72	$475.84	$780.42
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $59.25 / $90.70 / $113.62	Professional	53	$59.25	$90.70	$113.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.76 / $221.76 / $221.76	Professional		$221.76	$221.76	$221.76
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 $242.92 / $546.79 / $931.20	Professional		$242.92	$546.79	$931.20
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 $349.64 / $675.95 / $1,333.68	Professional		$349.64	$675.95	$1,333.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.16 / $630.91 / $1,399.11	Professional		$302.16	$630.91	$1,399.11
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $3,884.00 / $8,611.00	Facility		$864.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $768.24 / $1,616.62	Professional		$587.00	$768.24	$1,616.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $219.41 / $377.78 / $595.97	Professional		$219.41	$377.78	$595.97