Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $168.00 / $475.20	Facility		$53.57	$168.00	$475.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $148.81 / $168.00	Professional		$99.75	$148.81	$168.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $99.95	Professional		$93.78	$93.78	$99.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $184.69 / $261.18	Professional		$121.34	$184.69	$261.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.12 / $532.13 / $749.02	Facility		$409.12	$532.13	$749.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $266.76 / $407.72	Professional		$162.41	$266.76	$407.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $168.86 / $277.77 / $556.24	Professional		$168.86	$277.77	$556.24
United Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $190.84 / $388.69	Professional		$142.90	$190.84	$388.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,000.00 / $4,410.00	Professional		$2,500.00	$3,000.00	$4,410.00