Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $125.89 / $229.09	Facility		$57.54	$125.89	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $524.81	Professional		$107.15	$147.91	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $234.42	Professional		$117.49	$125.89	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $371.54	Professional		$154.88	$257.04	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $676.08 / $954.99	Facility		$331.13	$676.08	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $478.63	Professional		$199.53	$288.40	$478.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $489.78	Professional		$213.80	$331.13	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $467.74	Professional		$151.36	$223.87	$467.74
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