Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $95.50 / $2,691.53	Facility		$48.98	$95.50	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $54.95	Professional		$25.70	$38.90	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Professional		$21.88	$21.88	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.10 / $0.18	Facility		$0.07	$0.10	$0.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.05 / $0.05	Facility		$0.04	$0.05	$0.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.09	Professional		$0.08	$0.08	$0.09
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.19	Professional		$0.05	$0.05	$0.19
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.39 / $0.62	Facility		$0.39	$0.39	$0.62