Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,819.70 / $9,772.37	Facility		$89.13	$1,819.70	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.74 / $1,230.27 / $6,456.54	Facility	50	$0.74	$1,230.27	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $177.83 / $602.56	Professional		$61.66	$177.83	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $416.87 / $2,511.89	Professional	50	$87.10	$416.87	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $204.17 / $213.80	Professional		$50.12	$204.17	$213.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional	50	$1,148.15	$1,148.15	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $114.82 / $165.96	Professional		$51.29	$114.82	$165.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $173.78 / $239.88	Professional	50	$75.86	$173.78	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $575.44	Professional		$75.86	$177.83	$575.44
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $204.17 / $575.44	Professional		$63.10	$204.17	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $177.83 / $457.09	Professional		$66.07	$177.83	$457.09
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $302.00	Facility		$190.55	$190.55	$302.00
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	50	$288.40	$288.40	$288.40