Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $64.57	Professional		$28.18	$41.69	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $81.28	Professional		$41.69	$56.23	$81.28
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	25	$58.88	$58.88	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $125.89	Professional		$66.07	$89.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $144.54	Professional		$48.98	$72.44	$144.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $131.83	Professional		$42.66	$72.44	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $114.82	Professional		$42.66	$67.61	$114.82
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77