Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $118.00 / $2,331.21	Facility		$45.20	$118.00	$2,331.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $100.96 / $100.96 / $1,142.83	Facility	50	$100.96	$100.96	$1,142.83
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.00 / $59.00 / $88.53	Facility	52	$59.00	$59.00	$88.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $47.65 / $112.46	Professional		$29.28	$47.65	$112.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.65 / $60.21 / $129.66	Professional	50	$47.65	$60.21	$129.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.64 / $21.20 / $59.00	Professional	52	$13.64	$21.20	$59.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $60.70 / $131.84	Professional		$43.36	$60.70	$131.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.06 / $91.06 / $197.76	Professional	50	$91.06	$91.06	$197.76
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 $36.61 / $56.29 / $88.64	Professional		$36.61	$56.29	$88.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.93 / $84.43 / $137.33	Professional	50	$54.93	$84.43	$137.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $87.15 / $145.24	Professional		$45.91	$87.15	$145.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $84.07 / $164.57	Professional		$40.51	$84.07	$164.57
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 $62.54 / $92.98 / $185.49	Professional		$62.54	$92.98	$185.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $38.88 / $54.38	Professional		$28.10	$38.88	$54.38