Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $319.69 / $1,749.77	Facility		$102.53	$319.69	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $148.72 / $291.68	Professional		$68.93	$148.72	$291.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $67.50	Professional		$67.50	$67.50	$67.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $130.79 / $191.14	Professional		$69.87	$130.79	$191.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $240.41 / $518.48	Professional		$96.31	$240.41	$518.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $225.03 / $596.83	Professional		$85.42	$225.03	$596.83
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 $211.27 / $311.97 / $554.96	Professional		$211.27	$311.97	$554.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $142.66 / $207.28	Professional		$63.71	$142.66	$207.28