Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $163.47 / $167.63	Facility		$136.22	$163.47	$167.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.66 / $152.58	Professional		$136.22	$136.66	$152.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $246.01 / $597.34	Facility		$163.38	$246.01	$597.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $136.66 / $136.66	Facility		$128.93	$136.66	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $229.02	Professional		$136.66	$136.66	$229.02
United Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $136.66 / $144.87	Professional		$113.38	$136.66	$144.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $125.02 / $159.11	Professional		$113.65	$125.02	$159.11