Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $128.59 / $191.21	Facility		$113.37	$128.59	$191.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $141.19 / $191.10	Professional		$105.72	$141.19	$191.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $132.61 / $173.67	Professional		$99.46	$132.61	$173.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $120.65 / $144.09	Facility		$120.65	$120.65	$144.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $158.65 / $204.83	Professional		$132.22	$158.65	$204.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $153.00 / $282.81	Professional		$97.00	$153.00	$282.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $236.24 / $474.45	Professional		$143.30	$236.24	$474.45
Optum Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $150.08 / $221.87	Professional		$112.56	$150.08	$221.87
United Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $169.00 / $264.89	Professional		$112.56	$169.00	$264.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $127.24 / $176.13	Professional		$104.21	$127.24	$176.13