Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.10 / $157.10 / $230.56	Facility		$157.10	$157.10	$230.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $153.37 / $184.78	Professional		$110.14	$153.37	$184.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $200.72 / $275.00	Professional		$195.00	$200.72	$275.00
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 $155.29 / $157.10 / $157.10	Professional		$155.29	$157.10	$157.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $146.03	Facility		$142.00	$142.00	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $146.03	Professional		$103.66	$103.66	$146.03
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 $95.86 / $133.51 / $216.67	Professional		$95.86	$133.51	$216.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,000.00 / $3,750.00	Professional		$2,500.00	$3,000.00	$3,750.00