Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $478.63 / $9,772.37	Facility		$100.00	$478.63	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	50	$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $234.42	Professional		$69.18	$138.04	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $204.17	Professional		$89.13	$89.13	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $181.97	Professional		$61.66	$125.89	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $190.55 / $263.03	Professional	50	$91.20	$190.55	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $398.11	Professional		$81.28	$165.96	$398.11
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $204.17 / $426.58	Professional		$75.86	$204.17	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $165.96 / $371.54	Professional		$75.86	$165.96	$371.54
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $199.53	Facility		$125.89	$125.89	$199.53
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	50	$186.21	$186.21	$186.21