Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $111.19 / $274.06	Facility		$82.00	$111.19	$274.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $92.69 / $131.58	Professional		$71.86	$92.69	$131.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $75.37 / $98.85	Professional		$74.14	$75.37	$98.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $65.94 / $65.94	Facility		$65.94	$65.94	$65.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $105.79 / $122.32	Professional		$74.45	$105.79	$122.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $100.00 / $176.14	Professional		$69.00	$100.00	$176.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $148.22 / $316.00	Professional		$88.21	$148.22	$316.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $102.46 / $132.19	Professional		$85.00	$102.46	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $112.94 / $171.78	Professional		$85.45	$112.94	$171.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $84.57 / $106.83	Professional		$76.31	$84.57	$106.83