Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $218.78 / $5,370.32	Facility		$95.50	$218.78	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $218.78	Professional		$60.26	$109.65	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $131.83 / $154.88	Professional	50	$131.83	$131.83	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $199.53	Professional		$53.70	$74.13	$199.53
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 $60.26 / $125.89 / $173.78	Professional		$60.26	$125.89	$173.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $186.21 / $263.03	Professional	50	$91.20	$186.21	$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 $75.86 / $144.54 / $288.40	Professional		$75.86	$144.54	$288.40
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 $74.13 / $154.88 / $309.03	Professional		$74.13	$154.88	$309.03
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 $70.79 / $123.03 / $269.15	Professional		$70.79	$123.03	$269.15
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $144.54	Facility		$89.13	$89.13	$144.54
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	50	$134.90	$134.90	$134.90