Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $407.38 / $8,912.51	Facility		$138.04	$407.38	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $2,818.38 / $5,888.44	Facility	50	$1,148.15	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $354.81	Professional		$89.13	$181.97	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $457.09 / $1,047.13	Professional	50	$213.80	$457.09	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $194.98	Professional		$41.69	$83.18	$194.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $123.03 / $154.88	Professional	50	$123.03	$123.03	$154.88
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 $81.28 / $177.83 / $251.19	Professional		$81.28	$177.83	$251.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $269.15 / $380.19	Professional	50	$123.03	$269.15	$380.19
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 $120.23 / $229.09 / $436.52	Professional		$120.23	$229.09	$436.52
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 $100.00 / $218.78 / $436.52	Professional		$100.00	$218.78	$436.52
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 $100.00 / $218.78 / $467.74	Professional		$100.00	$218.78	$467.74
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $218.78	Facility		$138.04	$138.04	$218.78
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	50	$204.17	$204.17	$204.17