Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $141.25 / $141.25	Facility		$131.83	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $162.18	Professional		$100.00	$123.03	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $117.49	Professional		$79.43	$81.28	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $190.55	Professional		$107.15	$158.49	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $331.13	Professional		$107.15	$162.18	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $281.84	Professional		$100.00	$144.54	$281.84
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $109.65 / $165.96	Professional		$33.88	$109.65	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $363.08	Professional		$125.89	$194.98	$363.08
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33