Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.45 / $109.45 / $131.34	Facility		$109.45	$109.45	$131.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $109.45 / $155.10	Professional		$72.00	$109.45	$155.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $186.43 / $186.43	Professional		$186.43	$186.43	$186.43
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 $108.19 / $112.34 / $112.34	Professional		$108.19	$112.34	$112.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $120.81	Professional		$88.19	$88.19	$120.81
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 $62.01 / $92.18 / $116.74	Professional		$62.01	$92.18	$116.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $115.63 / $140.08 / $199.10	Professional		$115.63	$140.08	$199.10