Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $44.59 / $3,868.40	Facility		$44.59	$44.59	$3,868.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $47.13	Professional		$40.29	$40.29	$47.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $51.28 / $51.28	Professional		$51.28	$51.28	$51.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $62.85 / $165.83	Facility		$47.51	$62.85	$165.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $40.29 / $40.29	Facility		$34.63	$40.29	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $67.51	Professional		$40.29	$40.29	$67.51
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.71 / $75.25	Professional		$40.29	$42.71	$75.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $123.55 / $3,375.00	Professional		$98.77	$123.55	$3,375.00