Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.57 / $334.83 / $2,894.40	Facility		$113.57	$334.83	$2,894.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.05 / $92.05 / $255.20	Facility	52	$92.05	$92.05	$255.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.82 / $36.82 / $102.08	Facility	53	$36.82	$36.82	$102.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $270.04 / $364.40	Professional		$102.99	$270.04	$364.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $141.16 / $148.91	Professional		$93.79	$141.16	$148.91
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 $127.21 / $233.07 / $499.64	Professional		$127.21	$233.07	$499.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $341.12 / $850.96	Professional		$148.60	$341.12	$850.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $126.73 / $330.71 / $890.83	Professional		$126.73	$330.71	$890.83
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 $390.77 / $571.99 / $1,122.79	Professional		$390.77	$571.99	$1,122.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $242.38 / $375.14	Professional		$92.86	$242.38	$375.14