Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $186.50 / $782.10	Facility		$155.41	$186.50	$782.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $176.45 / $357.82	Professional		$172.56	$176.45	$357.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.56 / $220.56 / $220.56	Professional		$220.56	$220.56	$220.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.95 / $317.61 / $771.21	Facility		$210.95	$317.61	$771.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Professional		$176.45	$176.45	$176.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $176.45	Facility		$166.46	$176.45	$176.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Professional		$176.45	$176.45	$176.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $295.68	Professional		$176.45	$176.45	$295.68
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $192.65	Professional		$176.45	$176.45	$192.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $220.41 / $252.31 / $356.06	Professional		$220.41	$252.31	$356.06