Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $95.93 / $291.83	Facility		$82.00	$95.93	$291.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $86.29 / $119.66	Professional		$71.59	$86.29	$119.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $123.13 / $123.13	Professional		$102.68	$123.13	$123.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.73 / $85.73 / $85.73	Facility		$85.73	$85.73	$85.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $104.86 / $138.86	Professional		$76.76	$104.86	$138.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $98.00 / $163.24	Professional		$71.00	$98.00	$163.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $126.74 / $251.94	Professional		$76.48	$126.74	$251.94
Optum Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $107.63 / $148.13	Professional		$89.20	$107.63	$148.13
United Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $117.81 / $220.67	Professional		$96.52	$117.81	$220.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $86.27 / $112.53	Professional		$68.28	$86.27	$112.53