Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $287.02 / $1,749.77	Facility		$100.00	$287.02	$1,749.77
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.51 / $286.73 / $811.87	Facility	52	$143.51	$286.73	$811.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $139.50 / $229.57	Professional		$72.70	$139.50	$229.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $147.02 / $147.02	Professional		$147.02	$147.02	$147.02
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 $62.43 / $107.99 / $171.98	Professional		$62.43	$107.99	$171.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $1,306.21 / $1,351.93	Facility		$110.27	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $178.65 / $330.72	Professional		$86.48	$178.65	$330.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $173.30 / $402.73	Professional		$78.02	$173.30	$402.73
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 $167.78 / $245.05 / $403.49	Professional		$167.78	$245.05	$403.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $116.30 / $174.45	Professional		$52.98	$116.30	$174.45