Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $446.68	Facility		$79.43	$107.15	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $218.78	Professional		$69.18	$95.50	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $107.15	Professional		$67.61	$87.10	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $134.90	Professional		$93.33	$109.65	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $169.82	Professional		$64.57	$93.33	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $245.47	Professional		$85.11	$120.23	$245.47
Optum Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $134.90	Professional		$74.13	$100.00	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $199.53	Professional		$79.43	$117.49	$199.53
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Facility		$74.13	$74.13	$95.50