Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $102.30 / $104.90	Facility		$85.25	$102.30	$104.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $95.48	Professional		$85.12	$85.12	$95.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $85.25	Professional		$85.25	$85.25	$85.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $132.79 / $350.34	Facility		$100.37	$132.79	$350.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $85.25	Professional		$85.12	$85.12	$85.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $85.12 / $85.12	Facility		$80.30	$85.12	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $85.12	Professional		$85.12	$85.12	$85.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $142.63	Professional		$85.12	$85.12	$142.63
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $90.23	Professional		$85.12	$85.12	$90.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $105.99 / $3,375.00	Professional		$84.73	$105.99	$3,375.00