Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.52 / $794.77 / $3,648.15	Facility		$228.52	$794.77	$3,648.15
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,294.02 / $2,234.69 / $4,697.10	Facility	25	$1,294.02	$2,234.69	$4,697.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $228.52 / $482.79	Professional		$185.46	$228.52	$482.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $181.29 / $207.44 / $482.79	Professional	25	$181.29	$207.44	$482.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $241.46 / $676.67	Professional		$201.20	$241.46	$676.67
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $214.06 / $329.33 / $676.67	Professional	25	$214.06	$329.33	$676.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,135.39 / $5,706.00 / $10,362.00	Facility		$5,135.39	$5,706.00	$10,362.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.32 / $316.92 / $510.22	Professional		$236.32	$316.92	$510.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,921.00 / $11,975.00 / $15,343.00	Facility		$11,921.00	$11,975.00	$15,343.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $383.85 / $637.80	Professional		$250.74	$383.85	$637.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $247.29 / $418.55 / $805.20	Professional		$247.29	$418.55	$805.20
United Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $391.41 / $724.28	Professional		$280.75	$391.41	$724.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $236.82 / $320.39	Professional		$186.08	$236.82	$320.39