Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $93.50 / $110.00	Facility		$83.00	$93.50	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $88.84 / $118.45	Professional		$65.81	$88.84	$118.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $79.06 / $93.02	Professional		$71.16	$79.06	$93.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $81.06 / $81.06	Facility		$81.06	$81.06	$81.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $82.72 / $107.29	Professional		$68.73	$82.72	$107.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $93.92 / $203.23	Professional		$46.00	$93.92	$203.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $135.97 / $280.50	Professional		$79.43	$135.97	$280.50
Optum Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $92.77 / $117.02	Professional		$68.58	$92.77	$117.02
United Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $100.00 / $186.44	Professional		$68.58	$100.00	$186.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $77.37 / $108.39	Professional		$62.06	$77.37	$108.39