Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $218.78	Facility		$87.10	$114.82	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $117.49	Professional		$15.14	$26.92	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $21.88	Professional		$20.89	$21.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $194.98	Facility		$58.88	$66.07	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $64.57	Professional		$15.49	$22.39	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $128.82 / $218.78	Facility		$54.95	$128.82	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $48.98	Professional		$17.78	$22.91	$48.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $109.65	Professional		$33.88	$60.26	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $93.33	Professional		$14.45	$20.42	$93.33