Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $96.00 / $324.01	Facility		$80.00	$96.00	$324.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $91.93 / $117.32	Professional		$69.16	$91.93	$117.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $80.16 / $108.37	Professional		$64.15	$80.16	$108.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $68.98 / $98.04	Facility		$68.98	$68.98	$98.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $101.15 / $126.55	Professional		$77.75	$101.15	$126.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $97.00 / $162.97	Professional		$66.00	$97.00	$162.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $149.04 / $296.08	Professional		$89.43	$149.04	$296.08
Optum Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $100.00 / $133.68	Professional		$73.06	$100.00	$133.68
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $110.23 / $176.26	Professional		$75.00	$110.23	$176.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $81.27 / $106.01	Professional		$63.13	$81.27	$106.01