Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $169.82 / $275.42	Facility		$48.98	$169.82	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $104.71	Professional		$23.99	$30.20	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $56.23	Professional		$17.38	$25.70	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $204.17	Facility		$60.26	$67.61	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $33.11	Professional		$17.38	$22.91	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $131.83 / $245.47	Facility		$57.54	$131.83	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $51.29 / $144.54	Professional		$18.20	$51.29	$144.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $67.61	Professional		$35.48	$35.48	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $75.86	Professional		$20.89	$21.88	$75.86