Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $70.70 / $83.18	Facility		$56.99	$70.70	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $65.66 / $87.02	Professional		$51.95	$65.66	$87.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $62.50 / $84.17	Professional		$55.22	$62.50	$84.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $63.91 / $63.91	Facility		$63.91	$63.91	$63.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $65.59 / $84.89	Professional		$54.45	$65.59	$84.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $73.89 / $160.26	Professional		$28.00	$73.89	$160.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $106.95 / $220.67	Professional		$62.49	$106.95	$220.67
Optum Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $68.16 / $89.11	Professional		$47.25	$68.16	$89.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $76.03 / $165.43	Professional		$47.25	$76.03	$165.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $58.76 / $81.89	Professional		$38.11	$58.76	$81.89