Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $32.28 / $146.02	Facility		$18.14	$32.28	$146.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $18.80 / $32.28	Professional		$10.34	$18.80	$32.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
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 $10.67 / $18.30 / $29.08	Professional		$10.67	$18.30	$29.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $16.00 / $27.45 / $43.63	Professional	50	$16.00	$27.45	$43.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $29.14 / $54.09	Professional		$15.67	$29.14	$54.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $25.44 / $54.26	Professional		$13.34	$25.44	$54.26
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 $22.29 / $39.17 / $57.44	Professional		$22.29	$39.17	$57.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $17.19 / $35.15	Professional		$9.75	$17.19	$35.15