Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $638.52 / $8,965.00	Facility		$100.00	$638.52	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $158.97 / $380.88	Professional		$99.57	$158.97	$380.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,655.61 / $1,655.61 / $1,655.61	Professional	50	$1,655.61	$1,655.61	$1,655.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $387.83 / $387.83 / $387.83	Professional		$387.83	$387.83	$387.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $201.63 / $322.58	Professional		$117.09	$201.63	$322.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $175.63 / $302.45 / $483.88	Professional	50	$175.63	$302.45	$483.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $1,306.21 / $1,351.93	Facility		$203.89	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $318.98 / $609.61	Professional		$164.25	$318.98	$609.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $305.14 / $685.01	Professional		$146.33	$305.14	$685.01
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.14 / $396.01 / $717.89	Professional		$267.14	$396.01	$717.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $185.88 / $278.12	Professional		$101.52	$185.88	$278.12