Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $67.87 / $119.00	Facility		$55.36	$67.87	$119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $66.13 / $84.67	Professional		$52.72	$66.13	$84.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $68.47 / $82.11	Professional		$51.76	$68.47	$82.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $52.14 / $73.01	Facility		$52.14	$52.14	$73.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.51 / $92.36	Professional		$58.88	$72.51	$92.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $69.00 / $122.87	Professional		$42.00	$69.00	$122.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $112.87 / $224.35	Professional		$67.45	$112.87	$224.35
Optum Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $65.70 / $89.93	Professional		$52.39	$65.70	$89.93
United Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $75.56 / $114.69	Professional		$53.68	$75.56	$114.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $58.45 / $79.70	Professional		$47.35	$58.45	$79.70