Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.91 / $2,331.21 / $7,734.92	Facility		$211.91	$2,331.21	$7,734.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,381.43 / $8,380.79 / $10,973.93	Facility	50	$4,381.43	$8,380.79	$10,973.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.20 / $318.70 / $994.18	Facility	52	$124.20	$318.70	$994.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.68 / $127.48 / $397.67	Facility	53	$49.68	$127.48	$397.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $519.46 / $723.40	Professional		$158.30	$519.46	$723.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.25 / $108.25 / $108.25	Professional	50	$108.25	$108.25	$108.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $143.25 / $210.77	Professional		$143.25	$143.25	$210.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.28 / $360.97 / $732.33	Professional		$187.28	$360.97	$732.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $280.92 / $541.45 / $1,098.49	Professional	50	$280.92	$541.45	$1,098.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $483.68 / $1,221.29	Professional		$207.47	$483.68	$1,221.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $195.77 / $486.70 / $1,281.24	Professional		$195.77	$486.70	$1,281.24
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.34 / $940.00 / $1,787.25	Professional		$624.34	$940.00	$1,787.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $366.97 / $647.34	Professional		$132.99	$366.97	$647.34