Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $180.83 / $726.05	Facility		$150.69	$180.83	$726.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $116.93 / $169.17	Professional		$110.14	$116.93	$169.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $94.00	Professional		$94.00	$94.00	$94.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $317.24	Facility		$267.62	$267.62	$317.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $156.31	Professional		$148.53	$148.53	$156.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $218.41	Professional		$98.55	$135.00	$218.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $216.67 / $216.67 / $668.75	Professional		$216.67	$216.67	$668.75
United Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $143.05 / $216.67	Professional		$101.89	$143.05	$216.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $209.82 / $308.44	Professional		$174.85	$209.82	$308.44