Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $575.66 / $1,749.77	Facility		$93.34	$575.66	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $127.22 / $200.66	Professional		$46.76	$127.22	$200.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $66.06 / $148.51	Professional		$46.21	$66.06	$148.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $89.61 / $130.97	Professional		$47.87	$89.61	$130.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $71.80 / $134.41 / $195.67	Professional	50	$71.80	$134.41	$195.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $200.07 / $454.31	Professional		$65.98	$200.07	$454.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $174.78 / $495.08	Professional		$58.53	$174.78	$495.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $259.87 / $424.28	Professional		$187.42	$259.87	$424.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $115.61 / $172.51	Professional		$43.71	$115.61	$172.51