Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $70.79	Facility		$58.88	$58.88	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $128.82	Professional		$43.65	$58.88	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $104.71	Professional		$74.13	$77.62	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $128.82	Facility		$104.71	$112.20	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.86	Facility		$57.54	$57.54	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $57.54	Professional		$42.66	$42.66	$57.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $158.49	Professional		$91.20	$91.20	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $52.48	Facility		$27.54	$44.67	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $91.20	Professional		$34.67	$51.29	$91.20
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $128.82	Facility		$81.28	$81.28	$128.82