Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.10 / $831.29 / $3,933.53	Facility		$178.10	$831.29	$3,933.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.05 / $166.81 / $228.28	Facility	52	$89.05	$166.81	$228.28
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.61 / $76.09 / $166.81	Facility	53	$35.61	$76.09	$166.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $275.83 / $391.44	Professional		$180.09	$275.83	$391.44
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.01 / $71.84 / $160.27	Professional	53	$37.01	$71.84	$160.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $231.53 / $258.25	Professional		$178.10	$231.53	$258.25
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $89.22 / $90.53 / $107.06	Professional	53	$89.22	$90.53	$107.06
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 $222.22 / $374.76 / $648.57	Professional		$222.22	$374.76	$648.57
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $89.89 / $167.00 / $332.04	Professional	53	$89.89	$167.00	$332.04
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 $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $453.32 / $1,054.01	Professional		$220.87	$453.32	$1,054.01
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 $408.42 / $587.00 / $1,229.64	Professional		$408.42	$587.00	$1,229.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $225.51 / $414.80 / $622.20	Professional		$225.51	$414.80	$622.20
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