Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $45.71	Facility		$19.95	$35.48	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.02 / $85.11	Professional		$15.85	$38.02	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $36.31 / $38.02	Professional		$35.48	$36.31	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $37.15 / $53.70	Professional		$16.22	$37.15	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $66.07	Professional		$30.20	$44.67	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $36.31 / $75.86	Professional		$16.22	$36.31	$75.86
Optum Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $58.88	Professional		$39.81	$48.98	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $45.71 / $85.11	Professional		$21.88	$45.71	$85.11
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20