Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.04 / $136.04 / $272.08	Facility		$136.04	$136.04	$272.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $163.25	Professional		$106.33	$106.33	$163.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $136.04 / $136.04	Professional		$136.04	$136.04	$136.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $191.39 / $464.74	Facility		$127.12	$191.39	$464.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $106.33 / $106.33	Facility		$100.32	$106.33	$106.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $178.18	Professional		$106.33	$106.33	$178.18
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $116.96	Professional		$106.33	$106.33	$116.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $390.37 / $488.31 / $3,375.00	Professional		$390.37	$488.31	$3,375.00