Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $131.44 / $288.25	Facility		$38.50	$131.44	$288.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $125.56 / $275.33 / $275.33	Facility	25	$125.56	$275.33	$275.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $102.52 / $210.60	Professional		$67.65	$102.52	$210.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $65.84 / $118.94 / $262.50	Professional	25	$65.84	$118.94	$262.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $152.16 / $261.51	Professional		$103.32	$152.16	$261.51
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $107.77 / $143.33 / $261.51	Professional	25	$107.77	$143.33	$261.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.16 / $420.21 / $757.77	Facility		$164.16	$420.21	$757.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $135.27 / $212.08	Professional		$95.35	$135.27	$212.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $175.00 / $200.00	Facility		$150.00	$175.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $149.05 / $251.84	Professional		$94.74	$149.05	$251.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $179.63 / $330.51	Professional		$95.26	$179.63	$330.51
Optum Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $211.20 / $267.56	Professional		$101.86	$211.20	$267.56
United Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $181.47 / $325.52	Professional		$119.32	$181.47	$325.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $84.35 / $118.09	Professional		$64.30	$84.35	$118.09