Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $100.00	Facility		$83.18	$83.18	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $154.88	Professional		$61.66	$79.43	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $186.21	Facility		$151.36	$162.18	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Professional		$85.11	$85.11	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $109.65	Facility		$102.33	$102.33	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $102.33	Professional		$74.13	$74.13	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $229.09	Professional		$128.82	$128.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $74.13 / $91.20	Facility		$43.65	$74.13	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $128.82	Professional		$53.70	$74.13	$128.82
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $213.80	Facility		$131.83	$131.83	$213.80