Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $130.05 / $3,405.70	Facility		$77.64	$130.05	$3,405.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $601.29 / $1,275.30 / $3,421.60	Facility	50	$601.29	$1,275.30	$3,421.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $79.30 / $130.05	Professional		$53.73	$79.30	$130.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.59 / $117.32 / $241.50	Professional	50	$69.59	$117.32	$241.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $73.95 / $73.95 / $73.95	Professional	50	$73.95	$73.95	$73.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $85.04 / $124.23	Professional		$49.49	$85.04	$124.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.75 / $127.00 / $186.35	Professional	50	$73.75	$127.00	$186.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $86.87 / $86.87	Facility		$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $122.53 / $222.21	Professional		$71.55	$122.53	$222.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $116.74 / $241.38	Professional		$60.15	$116.74	$241.38
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 $105.13 / $161.69 / $256.27	Professional		$105.13	$161.69	$256.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $66.89 / $98.66	Professional		$44.35	$66.89	$98.66