Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $100.22	Facility		$83.52	$83.52	$100.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $70.48 / $90.03	Professional		$60.36	$70.48	$90.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $103.83 / $111.25	Professional		$103.83	$103.83	$111.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $148.33 / $175.83	Facility		$148.33	$148.33	$175.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $85.06 / $90.17	Professional		$85.06	$85.06	$90.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $109.02	Professional		$74.90	$74.90	$109.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $120.09 / $370.66	Professional		$120.09	$120.09	$370.66
United Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $74.00 / $118.18	Professional		$49.33	$74.00	$118.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $130.44 / $195.96	Professional		$111.09	$130.44	$195.96