Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $990.32 / $3,807.59	Facility		$129.18	$990.32	$3,807.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,276.82 / $5,483.40 / $7,348.54	Facility	50	$4,276.82	$5,483.40	$7,348.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $78.77 / $78.77 / $198.06	Facility	53	$78.77	$78.77	$198.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $212.65 / $359.96	Professional		$104.27	$212.65	$359.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $325.79 / $360.93 / $501.68	Professional	50	$325.79	$360.93	$501.68
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $23.69 / $42.53 / $71.98	Professional	53	$23.69	$42.53	$71.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $108.58 / $108.58	Professional		$108.58	$108.58	$108.58
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 $108.08 / $186.33 / $296.76	Professional		$108.08	$186.33	$296.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $161.56 / $278.24 / $408.26	Professional	50	$161.56	$278.24	$408.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.07 / $1,306.21 / $1,351.93	Facility		$188.07	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.61 / $37.61 / $37.61	Facility	53	$37.61	$37.61	$37.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $305.39 / $609.11	Professional		$154.72	$305.39	$609.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.61 / $295.51 / $671.23	Professional		$134.61	$295.51	$671.23
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 $286.48 / $416.35 / $685.22	Professional		$286.48	$416.35	$685.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $194.36 / $304.85	Professional		$94.26	$194.36	$304.85