Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $616.60 / $2,398.83	Facility		$100.00	$616.60	$2,398.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.74 / $0.74 / $0.74	Facility	50	$0.74	$0.74	$0.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $234.42	Professional		$47.86	$87.10	$234.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $223.87 / $512.86	Professional	50	$102.33	$223.87	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $36.31 / $37.15	Professional		$16.98	$36.31	$37.15
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 $38.02 / $81.28 / $114.82	Professional		$38.02	$81.28	$114.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.54 / $123.03 / $169.82	Professional	50	$57.54	$123.03	$169.82
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 $54.95 / $104.71 / $199.53	Professional		$54.95	$104.71	$199.53
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 $47.86 / $95.50 / $186.21	Professional		$47.86	$95.50	$186.21
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 $50.12 / $100.00 / $186.21	Professional		$50.12	$100.00	$186.21
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $93.33	Facility		$57.54	$57.54	$93.33
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	50	$87.10	$87.10	$87.10