Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.46 / $668.72 / $7,120.80	Facility		$141.46	$668.72	$7,120.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.90 / $253.83 / $428.06	Facility	52	$63.90	$253.83	$428.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.56 / $101.53 / $171.22	Facility	53	$25.56	$101.53	$171.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $217.09 / $507.67	Professional		$128.80	$217.09	$507.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $65.09 / $108.87 / $253.83	Professional	52	$65.09	$108.87	$253.83
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $26.04 / $43.55 / $101.53	Professional	53	$26.04	$43.55	$101.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.54 / $270.54 / $305.12	Professional		$270.54	$270.54	$305.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $185.94 / $430.50	Professional		$97.58	$185.94	$430.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $284.67 / $733.18	Professional		$112.64	$284.67	$733.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $271.27 / $753.20	Professional		$100.84	$271.27	$753.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.72 / $356.10 / $691.05	Professional		$288.72	$356.10	$691.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $169.04 / $249.65	Professional		$69.26	$169.04	$249.65