Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $229.09	Facility		$93.33	$134.90	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $134.90	Professional		$23.99	$28.84	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $70.79 / $208.93	Facility		$63.10	$70.79	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $74.13	Professional		$18.20	$23.99	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $138.04 / $257.04	Facility		$58.88	$138.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $52.48	Professional		$19.05	$26.30	$52.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $117.49	Professional		$36.31	$63.10	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $107.15	Professional		$15.49	$21.88	$107.15