Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $180.00	Facility		$150.00	$150.00	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $150.00 / $180.00	Professional		$102.52	$150.00	$180.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $681.43 / $681.43 / $681.43	Professional		$681.43	$681.43	$681.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $176.78 / $176.78	Professional		$30.16	$176.78	$176.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $170.11 / $333.74	Professional		$102.29	$170.11	$333.74
United Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $275.52 / $649.80	Professional		$147.97	$275.52	$649.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $219.10 / $3,375.00	Professional		$175.15	$219.10	$3,375.00