Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $380.45 / $3,653.08	Facility		$206.59	$380.45	$3,653.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.91 / $123.95 / $190.23	Facility	52	$88.91	$123.95	$190.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.32 / $75.69 / $133.56	Facility	53	$41.32	$75.69	$133.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $275.83 / $384.98	Professional		$180.09	$275.83	$384.98
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.47 / $71.84 / $160.27	Professional	53	$40.47	$71.84	$160.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $180.28 / $236.50	Professional		$177.81	$180.28	$236.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $357.14 / $647.92	Professional		$186.87	$357.14	$647.92
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $88.88 / $166.67 / $331.38	Professional	53	$88.88	$166.67	$331.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $220.47 / $452.87 / $1,052.97	Professional		$220.47	$452.87	$1,052.97
United Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $3,624.00 / $8,035.00	Facility		$696.00	$3,624.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.92 / $556.94 / $954.72	Professional		$414.92	$556.94	$954.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $225.26 / $414.57 / $621.86	Professional		$225.26	$414.57	$621.86
Well Sense Facility/Professional Professional Modifier 53 Low / Median / High Price $37.01 / $49.97 / $55.52	Professional	53	$37.01	$49.97	$55.52