Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Facility		$131.83	$131.83	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $257.04	Professional		$77.62	$93.33	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $104.71	Professional		$81.28	$93.33	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $128.82	Professional		$89.13	$102.33	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $234.42	Professional		$69.18	$107.15	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $239.88	Professional		$83.18	$123.03	$239.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $120.23	Professional		$70.79	$87.10	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $229.09	Professional		$81.28	$117.49	$229.09
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79