Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $43.65	Facility		$34.67	$34.67	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $81.28	Professional		$47.86	$61.66	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $54.95	Professional		$46.77	$46.77	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $93.33	Professional		$66.07	$74.13	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $158.49	Professional		$50.12	$69.18	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $165.96	Professional		$53.70	$83.18	$165.96
Optum Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $60.26 / $83.18	Professional		$5.37	$60.26	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $77.62 / $147.91	Professional		$7.41	$77.62	$147.91
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29