Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.57 / $25.00	Professional		$18.50	$19.57	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $16.43	Professional		$16.43	$16.43	$16.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $24.51 / $41.97	Professional		$18.75	$24.51	$41.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $31.68 / $62.96	Professional		$23.00	$31.68	$62.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $49.70 / $99.20	Professional		$27.97	$49.70	$99.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $80.61 / $174.61	Professional		$55.96	$80.61	$174.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00