Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $30,902.95	Facility		$30.20	$60.26	$30,902.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $44.67 / $63.10	Facility		$35.48	$44.67	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $34.67	Professional		$30.20	$30.20	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $30.20	Facility		$24.55	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $60.26	Professional		$31.62	$52.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $66.07	Professional		$30.20	$42.66	$66.07