Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $107.15 / $208.93	Facility		$33.88	$107.15	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $109.65	Professional		$19.05	$22.91	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Professional		$19.50	$19.50	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $169.82	Facility		$50.12	$57.54	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $56.23	Professional		$14.45	$19.05	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $112.20 / $208.93	Facility		$47.86	$112.20	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $42.66	Professional		$15.14	$21.38	$42.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $95.50	Professional		$29.51	$51.29	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $87.10	Professional		$12.30	$17.78	$87.10