Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $58.33 / $70.00	Facility		$58.33	$58.33	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $51.22 / $62.88	Professional		$41.22	$51.22	$62.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $77.69 / $145.03	Professional		$77.69	$77.69	$145.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.59 / $103.59 / $122.80	Facility		$103.59	$103.59	$122.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $54.74 / $57.39	Professional		$54.74	$54.74	$57.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $61.83	Professional		$42.34	$42.34	$61.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $83.88 / $258.89	Professional		$83.88	$83.88	$258.89
United Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $51.68 / $61.36	Professional		$34.46	$51.68	$61.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $81.22 / $122.18	Professional		$67.68	$81.22	$122.18