Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.09 / $705.09 / $705.09	Facility		$705.09	$705.09	$705.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.03 / $244.11 / $391.56	Professional		$204.03	$244.11	$391.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.02 / $122.06 / $171.35	Professional	52	$102.02	$122.06	$171.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.19 / $329.77 / $942.72	Professional		$264.19	$329.77	$942.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.93 / $342.70 / $481.12	Professional		$280.93	$342.70	$481.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.94 / $387.15 / $761.55	Professional		$253.94	$387.15	$761.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $325.86 / $488.79 / $1,005.77	Professional		$325.86	$488.79	$1,005.77
United Facility/Professional Professional Modifier Low / Median / High Price $251.55 / $368.05 / $702.13	Professional		$251.55	$368.05	$702.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $221.51 / $325.62	Professional		$184.59	$221.51	$325.62