Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,398.83 / $9,772.37	Facility		$338.84	$2,398.83	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $7,762.47 / $15,135.61	Facility	50	$1,412.54	$7,762.47	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $436.52 / $1,096.48	Professional		$218.78	$436.52	$1,096.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $831.76 / $1,995.26	Professional	50	$446.68	$831.76	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $398.11	Professional		$173.78	$190.55	$398.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional	50	$2,137.96	$2,137.96	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $537.03	Professional		$173.78	$380.19	$537.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $562.34 / $794.33	Professional	50	$257.04	$562.34	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $524.81 / $1,096.48	Professional		$251.19	$524.81	$1,096.48
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $524.81 / $1,071.52	Professional		$213.80	$524.81	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $1,023.29	Professional		$239.88	$512.86	$1,023.29
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $549.54	Facility		$346.74	$346.74	$549.54
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	50	$512.86	$512.86	$512.86