Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.67 / $608.63 / $1,894.00	Facility		$98.67	$608.63	$1,894.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.22 / $89.60 / $392.27	Facility	52	$34.22	$89.60	$392.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $179.19 / $283.68	Professional		$45.87	$179.19	$283.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $97.59 / $97.59	Professional		$77.39	$97.59	$97.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $104.60 / $395.13	Professional		$53.16	$104.60	$395.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $179.19 / $596.80	Professional		$54.20	$179.19	$596.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $168.64 / $641.91	Professional		$50.62	$168.64	$641.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $318.42 / $681.86	Professional		$212.21	$318.42	$681.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $164.36 / $235.00	Professional		$37.97	$164.36	$235.00