Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $166.05 / $420.41	Professional		$134.78	$166.05	$420.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $291.38 / $291.38	Professional		$131.38	$291.38	$291.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $223.54 / $330.15	Professional		$119.36	$223.54	$330.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.93 / $249.86 / $372.70	Professional		$152.93	$249.86	$372.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $225.25 / $450.11	Professional		$136.63	$225.25	$450.11
United Facility/Professional Professional Modifier Low / Median / High Price $147.93 / $214.50 / $337.44	Professional		$147.93	$214.50	$337.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $140.81 / $200.02	Professional		$117.34	$140.81	$200.02