Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.02 / $1,456.22 / $6,646.15	Facility		$583.02	$1,456.22	$6,646.15
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,052.42 / $2,052.42 / $2,052.42	Facility	22	$2,052.42	$2,052.42	$2,052.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,645.42 / $6,322.50 / $7,293.07	Facility	50	$1,645.42	$6,322.50	$7,293.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.88 / $505.60 / $835.10	Professional		$391.88	$505.60	$835.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,414.41 / $1,414.41 / $1,414.41	Professional	50	$1,414.41	$1,414.41	$1,414.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.28 / $639.99 / $1,046.93	Professional		$398.28	$639.99	$1,046.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $926.88 / $926.88 / $1,069.95	Professional	50	$926.88	$926.88	$1,069.95
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 $436.35 / $685.83 / $961.60	Professional		$436.35	$685.83	$961.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $654.52 / $1,028.74 / $1,442.40	Professional	50	$654.52	$1,028.74	$1,442.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.64 / $1,751.69 / $1,812.99	Facility		$742.64	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.05 / $833.64 / $1,249.81	Professional		$554.05	$833.64	$1,249.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $508.05 / $799.26 / $1,557.33	Professional		$508.05	$799.26	$1,557.33
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 $503.82 / $646.84 / $1,267.23	Professional		$503.82	$646.84	$1,267.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $341.99 / $405.73 / $611.97	Professional		$341.99	$405.73	$611.97