Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,819.70 / $9,772.37	Facility		$162.18	$1,819.70	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,265.80 / $4,265.80 / $6,760.83	Facility	50	$4,265.80	$4,265.80	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $371.54	Professional		$112.20	$204.17	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $457.09 / $1,148.15	Professional	50	$281.84	$457.09	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $208.93	Professional		$95.50	$109.65	$208.93
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 $93.33 / $208.93 / $288.40	Professional		$93.33	$208.93	$288.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $309.03 / $436.52	Professional	50	$141.25	$309.03	$436.52
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 $138.04 / $257.04 / $478.63	Professional		$138.04	$257.04	$478.63
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 $114.82 / $239.88 / $478.63	Professional		$114.82	$239.88	$478.63
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 $117.49 / $239.88 / $501.19	Professional		$117.49	$239.88	$501.19
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $234.42	Facility		$147.91	$147.91	$234.42
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	50	$218.78	$218.78	$218.78