Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.47 / $216.47 / $216.47	Facility		$216.47	$216.47	$216.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $89.62 / $4,054.40	Professional		$73.77	$89.62	$4,054.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $77.06 / $77.06	Professional		$77.06	$77.06	$77.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $572.00 / $1,475.00	Facility		$563.00	$572.00	$1,475.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $99.82 / $141.07	Professional		$80.84	$99.82	$141.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $124.11 / $218.10	Professional		$85.21	$124.11	$218.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $142.76 / $293.74	Professional		$95.17	$142.76	$293.74
United Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $115.96 / $223.00	Professional		$79.41	$115.96	$223.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $77.65 / $117.27	Professional		$63.77	$77.65	$117.27