Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $115.87	Facility		$96.56	$96.56	$115.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $87.73 / $104.09	Professional		$70.73	$87.73	$104.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $128.62 / $220.00	Professional		$128.62	$128.62	$220.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.49 / $171.49 / $203.28	Facility		$171.49	$171.49	$203.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $88.64 / $93.22	Professional		$88.64	$88.64	$93.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $126.04	Professional		$70.61	$70.61	$126.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $138.85 / $428.56	Professional		$138.85	$138.85	$428.56
United Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $72.88 / $95.46	Professional		$57.04	$72.88	$95.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $134.44 / $197.64	Professional		$112.04	$134.44	$197.64