Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $128.09 / $266.13	Facility		$87.65	$128.09	$266.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $108.17 / $162.40	Professional		$76.50	$108.17	$162.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.78 / $303.83 / $303.83	Professional		$176.78	$303.83	$303.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $124.36 / $124.36 / $124.36	Professional	25	$124.36	$124.36	$124.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $138.29 / $235.95	Professional		$126.47	$138.29	$235.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.79 / $238.18 / $446.89	Professional		$144.79	$238.18	$446.89
United Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $181.07 / $276.68	Professional		$130.80	$181.07	$276.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $122.90 / $3,375.00	Professional		$98.25	$122.90	$3,375.00