Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.34 / $232.34 / $278.81	Facility		$232.34	$232.34	$278.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $180.30 / $232.34	Professional		$127.37	$180.30	$232.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $412.64 / $412.64 / $412.64	Professional		$412.64	$412.64	$412.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.64 / $412.64 / $489.14	Facility		$412.64	$412.64	$489.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.65 / $186.65 / $197.49	Professional		$186.65	$186.65	$197.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $230.72	Professional		$157.99	$157.99	$230.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $334.10 / $334.10 / $1,031.20	Professional		$334.10	$334.10	$1,031.20
United Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $160.66 / $180.13	Facility		$95.17	$160.66	$180.13
United Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $204.02 / $244.43	Professional		$137.24	$204.02	$244.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $269.60 / $323.52 / $486.63	Professional		$269.60	$323.52	$486.63