Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $169.82 / $263.03	Facility		$53.70	$169.82	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $338.84	Professional		$74.13	$131.83	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $186.21	Professional		$93.33	$100.00	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $295.12	Professional		$120.23	$204.17	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $537.03 / $741.31	Facility		$263.03	$537.03	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $407.38	Professional		$162.18	$281.84	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $398.11	Professional		$173.78	$269.15	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $389.05	Professional		$158.49	$194.98	$389.05
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89