Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.74 / $130.37 / $169.93	Facility		$109.74	$130.37	$169.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $128.02 / $176.58	Professional		$98.01	$128.02	$176.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $111.98 / $152.30	Professional		$88.14	$111.98	$152.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $107.00	Facility		$107.00	$107.00	$107.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $131.55 / $179.55	Professional		$109.22	$131.55	$179.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $171.06 / $297.69	Professional		$106.00	$171.06	$297.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $213.56 / $422.71	Professional		$123.11	$213.56	$422.71
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $130.00 / $180.39	Professional		$105.57	$130.00	$180.39
United Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $148.02 / $249.38	Professional		$105.50	$148.02	$249.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $126.91 / $187.07	Professional		$108.65	$126.91	$187.07