Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Facility		$66.07	$66.07	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $102.33	Professional		$47.86	$60.26	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $128.82 / $144.54	Facility		$120.23	$128.82	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $64.57	Professional		$63.10	$63.10	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $177.83	Professional		$102.33	$102.33	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $61.66	Facility		$32.36	$52.48	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $102.33	Professional		$39.81	$58.88	$102.33
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Facility		$104.71	$104.71	$165.96