Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $54.78 / $399.60	Facility		$52.39	$54.78	$399.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $52.39 / $63.23	Professional		$31.61	$52.39	$63.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $127.36 / $127.36	Professional		$108.25	$127.36	$127.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $62.73 / $63.30	Facility		$52.71	$62.73	$63.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $57.65 / $96.71	Professional		$53.05	$57.65	$96.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $99.90 / $187.44	Professional		$60.73	$99.90	$187.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $89.82 / $167.29	Professional		$50.90	$89.82	$167.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $50.64 / $82.12	Professional		$23.70	$50.64	$82.12