Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.78 / $4,005.47 / $18,734.41	Facility		$749.78	$4,005.47	$18,734.41
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,686.08 / $3,686.08 / $3,686.08	Facility	22	$3,686.08	$3,686.08	$3,686.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $809.87 / $1,266.99 / $1,266.99	Facility	52	$809.87	$1,266.99	$1,266.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $323.95 / $506.79 / $506.79	Facility	53	$323.95	$506.79	$506.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.76 / $749.79 / $1,548.05	Professional		$632.76	$749.79	$1,548.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $712.68 / $859.28 / $1,536.80	Professional		$712.68	$859.28	$1,536.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,300.00	Facility		$8,512.20	$9,458.00	$17,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.87 / $1,088.15 / $1,740.84	Professional		$648.87	$1,088.15	$1,740.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,257.46 / $5,257.46 / $5,441.47	Facility		$5,257.46	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.16 / $1,227.82 / $1,987.16	Professional		$713.16	$1,227.82	$1,987.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $742.82 / $1,284.93 / $2,292.71	Professional		$742.82	$1,284.93	$2,292.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,660.00 / $12,399.00	Facility		$1,111.00	$4,660.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.82 / $1,148.89 / $2,469.65	Professional		$761.82	$1,148.89	$2,469.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $519.21 / $623.04 / $983.38	Professional		$519.21	$623.04	$983.38