Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $261.06 / $2,583.96	Facility		$100.00	$261.06	$2,583.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,161.08 / $2,088.85 / $5,944.17	Facility	50	$1,161.08	$2,088.85	$5,944.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $159.12 / $261.06	Professional		$95.73	$159.12	$261.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.02 / $235.94 / $471.45	Professional	50	$123.02	$235.94	$471.45
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $133.40 / $133.40 / $133.40	Professional	50	$133.40	$133.40	$133.40
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 $88.88 / $152.07 / $234.67	Professional		$88.88	$152.07	$234.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $132.46 / $228.11 / $334.70	Professional	50	$132.46	$228.11	$334.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $1,306.21 / $1,351.93	Facility		$153.97	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $235.89 / $435.25	Professional		$126.77	$235.89	$435.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $217.91 / $489.17	Professional		$110.35	$217.91	$489.17
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 $206.85 / $304.68 / $514.78	Professional		$206.85	$304.68	$514.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $138.57 / $230.40	Professional		$77.51	$138.57	$230.40