Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.99 / $104.99 / $125.99	Facility		$104.99	$104.99	$125.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $102.50 / $125.99	Professional		$76.73	$102.50	$125.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $139.82 / $139.82	Professional		$139.82	$139.82	$139.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $186.43 / $220.99	Facility		$186.43	$186.43	$220.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $103.75 / $108.90	Professional		$103.75	$103.75	$108.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $113.67	Professional		$77.84	$77.84	$113.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $465.91	Professional		$150.94	$150.94	$465.91
United Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $93.01 / $156.71	Professional		$64.06	$93.01	$156.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $146.18 / $219.89	Professional		$121.82	$146.18	$219.89