Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Facility		$275.42	$275.42	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $426.58	Professional		$199.53	$257.04	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $524.81 / $602.56	Facility		$501.19	$524.81	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $275.42	Professional		$204.17	$204.17	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $741.31	Professional		$426.58	$426.58	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $288.40	Facility		$138.04	$218.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $426.58	Professional		$165.96	$239.88	$426.58
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $691.83	Facility		$436.52	$436.52	$691.83