Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $524.81 / $2,630.27	Facility		$87.10	$524.81	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $229.09	Professional		$70.79	$85.11	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $309.03	Facility		$120.23	$177.83	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $100.00	Professional		$85.11	$87.10	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $165.96	Professional		$87.10	$87.10	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $89.13	Professional		$85.11	$85.11	$89.13