Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.77 / $142.06 / $214.74	Facility		$119.77	$142.06	$214.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $153.00 / $195.58	Professional		$117.69	$153.00	$195.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $160.69 / $217.40	Professional		$141.78	$160.69	$217.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.83 / $180.83 / $180.83	Facility		$180.83	$180.83	$180.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $181.11 / $236.36	Professional		$149.37	$181.11	$236.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $187.85 / $428.15	Professional		$75.00	$187.85	$428.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $268.39 / $534.21	Professional		$158.56	$268.39	$534.21
Optum Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $167.07 / $245.00	Professional		$125.93	$167.07	$245.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $187.49 / $369.52	Professional		$125.93	$187.49	$369.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $132.87 / $181.19	Professional		$106.30	$132.87	$181.19