Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $49.59 / $688.86	Facility		$35.10	$49.59	$688.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $49.59 / $118.86	Professional		$18.00	$49.59	$118.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $66.05 / $101.27	Professional		$66.05	$66.05	$101.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $88.06 / $104.39	Facility		$88.06	$88.06	$104.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $40.10 / $42.15	Professional		$40.10	$40.10	$42.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.96	Facility		$45.70	$45.70	$45.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $64.73	Professional		$33.36	$33.36	$64.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $71.30 / $220.07	Professional		$71.30	$71.30	$220.07
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $43.93 / $70.17	Professional		$29.29	$43.93	$70.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.05 / $101.50	Professional		$57.54	$69.05	$101.50