Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $446.68	Facility		$162.18	$194.98	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $251.19	Professional		$120.23	$151.36	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $316.23 / $363.08	Facility		$295.12	$316.23	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $158.49	Professional		$154.88	$154.88	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Professional		$128.82	$128.82	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $446.68	Professional		$251.19	$251.19	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $173.78	Facility		$81.28	$131.83	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $251.19	Professional		$100.00	$144.54	$251.19
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $416.87	Facility		$257.04	$257.04	$416.87