Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $206.88	Facility		$172.40	$172.40	$206.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $202.82	Professional		$202.82	$202.82	$202.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.45 / $302.55 / $781.26	Facility		$201.45	$302.55	$781.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $172.39 / $172.39	Professional		$169.02	$172.39	$172.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $233.98 / $483.94	Professional		$172.40	$233.98	$483.94
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $249.98	Professional		$202.82	$202.82	$249.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $163.91 / $204.89	Professional		$136.59	$163.91	$204.89