Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $189.28 / $2,331.21	Facility		$100.00	$189.28	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $49.71 / $71.47	Professional		$35.19	$49.71	$71.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.14 / $64.14 / $64.14	Professional	50	$64.14	$64.14	$64.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $36.88 / $36.88	Professional		$36.88	$36.88	$36.88
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 $32.32 / $53.49 / $79.25	Professional		$32.32	$53.49	$79.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.03 / $82.35 / $118.88	Professional	50	$48.03	$82.35	$118.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $57.28 / $57.28	Facility		$57.28	$57.28	$57.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $72.70 / $122.48	Professional		$46.80	$72.70	$122.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $73.20 / $136.99	Professional		$40.02	$73.20	$136.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $75.75 / $138.87	Professional		$54.74	$75.75	$138.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $41.68 / $55.58	Professional		$26.87	$41.68	$55.58