Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $120.89 / $189.27	Facility		$106.67	$120.89	$189.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $120.89 / $161.69	Professional		$93.54	$120.89	$161.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $113.56 / $145.11	Professional		$113.56	$113.56	$145.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $119.72 / $119.72	Facility		$119.72	$119.72	$119.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $127.59 / $166.90	Professional		$102.86	$127.59	$166.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $134.00 / $230.19	Professional		$99.00	$134.00	$230.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $172.91 / $355.85	Professional		$108.02	$172.91	$355.85
Optum Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $146.91 / $181.20	Professional		$124.88	$146.91	$181.20
United Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $171.78 / $276.16	Professional		$133.00	$171.78	$276.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $113.99 / $154.21	Professional		$89.56	$113.99	$154.21