Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.04 / $140.04 / $168.05	Facility		$140.04	$140.04	$168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $130.66 / $159.88	Professional		$116.42	$130.66	$159.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $186.53 / $186.53	Professional		$186.53	$186.53	$186.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $266.47 / $315.87	Facility		$266.47	$266.47	$315.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $171.26 / $180.05	Professional		$171.26	$171.26	$180.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $209.38	Professional		$130.22	$130.22	$209.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $217.29 / $217.29 / $670.67	Professional		$217.29	$217.29	$670.67
United Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $132.94 / $212.31	Professional		$88.63	$132.94	$212.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $219.53 / $279.39	Professional		$199.57	$219.53	$279.39