Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $274.44 / $628.66	Professional		$161.22	$274.44	$628.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $472.55 / $472.55 / $472.55	Professional		$472.55	$472.55	$472.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.43 / $245.65 / $392.99	Professional		$143.43	$245.65	$392.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $213.97 / $368.47 / $540.66	Professional	50	$213.97	$368.47	$540.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $1,306.21 / $1,351.93	Facility		$248.99	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $451.75 / $965.36	Professional		$204.78	$451.75	$965.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $178.26 / $445.24 / $1,053.73	Professional		$178.26	$445.24	$1,053.73
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.44 / $667.74 / $1,181.58	Professional		$438.44	$667.74	$1,181.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $126.92 / $328.12 / $492.18	Professional		$126.92	$328.12	$492.18