Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $51.52 / $1,749.77	Facility		$15.33	$51.52	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $15.33 / $32.97	Professional		$11.46	$15.33	$32.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $9.36 / $78.40 / $224.00	Professional	50	$9.36	$78.40	$224.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.85 / $7.67 / $7.67	Professional	52	$5.85	$7.67	$7.67
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.34 / $3.07 / $3.07	Professional	53	$2.34	$3.07	$3.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $18.95 / $37.19	Professional		$15.33	$18.95	$37.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $22.99 / $22.99 / $27.05	Professional	50	$22.99	$22.99	$27.05
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 $15.58 / $27.50 / $40.19	Professional		$15.58	$27.50	$40.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.37 / $41.25 / $60.29	Professional	50	$23.37	$41.25	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $34.86 / $49.33	Professional		$22.23	$34.86	$49.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $34.52 / $57.32	Professional		$17.39	$34.52	$57.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $30.81 / $75.02	Professional		$19.53	$30.81	$75.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.28 / $20.37	Professional		$10.30	$13.28	$20.37