Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $115.57 / $341.16	Facility		$82.00	$115.57	$341.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $94.55 / $136.72	Professional		$74.97	$94.55	$136.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $77.31 / $105.14	Professional		$69.58	$77.31	$105.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Facility		$68.73	$68.73	$68.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $108.59 / $127.53	Professional		$78.02	$108.59	$127.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $109.20 / $185.19	Professional		$72.34	$109.20	$185.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $154.57 / $329.53	Professional		$92.91	$154.57	$329.53
Optum Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $105.54 / $135.00	Professional		$87.90	$105.54	$135.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $117.91 / $178.08	Professional		$88.43	$117.91	$178.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $93.60 / $120.80	Professional		$55.50	$93.60	$120.80