Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $389.05 / $758.58	Facility		$100.00	$389.05	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $281.84	Professional		$97.72	$114.82	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $741.31 / $831.76	Facility		$588.84	$741.31	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $275.42	Professional		$123.03	$199.53	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $524.81 / $851.14	Facility		$257.04	$524.81	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $407.38	Professional		$125.89	$213.80	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $346.74	Professional		$151.36	$234.42	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $380.19	Professional		$123.03	$186.21	$380.19