Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $857.26 / $2,331.21	Facility		$100.00	$857.26	$2,331.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.48 / $49.48 / $99.68	Facility	53	$49.48	$49.48	$99.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $93.64 / $158.59	Professional		$48.59	$93.64	$158.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $143.31 / $143.31 / $143.31	Professional	50	$143.31	$143.31	$143.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $49.05 / $49.05	Professional		$49.05	$49.05	$49.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $84.49 / $134.56	Professional		$49.49	$84.49	$134.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.26 / $126.17 / $185.13	Professional	50	$73.26	$126.17	$185.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $86.31	Facility		$86.31	$86.31	$86.31
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.26 / $17.26 / $17.26	Facility	53	$17.26	$17.26	$17.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $141.84 / $275.82	Professional		$72.08	$141.84	$275.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $132.59 / $291.08	Professional		$59.75	$132.59	$291.08
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 $129.03 / $207.97 / $308.64	Professional		$129.03	$207.97	$308.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $82.93 / $146.29	Professional		$44.67	$82.93	$146.29