Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $75.06 / $90.07	Facility		$75.06	$75.06	$90.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $60.04 / $75.06	Professional		$41.73	$60.04	$75.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $127.86	Professional		$95.90	$95.90	$127.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $127.86 / $151.57	Facility		$127.86	$127.86	$151.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $56.30 / $60.80	Professional		$56.30	$56.30	$60.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $61.21	Professional		$44.68	$44.68	$61.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $103.51 / $319.48	Professional		$103.51	$103.51	$319.48
United Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $63.79 / $80.06	Professional		$42.52	$63.79	$80.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $86.96 / $108.71	Professional		$72.47	$86.96	$108.71