Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $660.69 / $3,467.37	Facility		$281.84	$660.69	$3,467.37
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $2,089.30 / $2,454.71 / $5,128.61	Facility	25	$2,089.30	$2,454.71	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $616.60	Professional		$173.78	$269.15	$616.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $389.05 / $741.31	Professional	25	$169.82	$389.05	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $549.54	Professional		$194.98	$223.87	$549.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $204.17 / $257.04 / $676.08	Professional	25	$204.17	$257.04	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,025.60 / $10,964.78	Facility		$5,370.32	$6,025.60	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $537.03	Professional		$257.04	$398.11	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $15,488.17	Facility		$12,022.64	$12,022.64	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $588.84	Professional		$218.78	$363.08	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $724.44	Professional		$251.19	$407.38	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $691.83	Professional		$234.42	$371.54	$691.83
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $346.74	Facility		$204.17	$281.84	$346.74