Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.24 / $221.03 / $460.54	Facility		$137.24	$221.03	$460.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $133.66 / $133.66 / $133.66	Facility	25	$133.66	$133.66	$133.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $202.50 / $415.48	Professional		$140.32	$202.50	$415.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.47 / $240.37 / $548.50	Professional	25	$144.47	$240.37	$548.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $246.78 / $608.45	Professional		$185.08	$246.78	$608.45
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $176.27 / $250.40 / $439.01	Professional	25	$176.27	$250.40	$439.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.16 / $1,174.41 / $2,943.75	Facility		$164.16	$1,174.41	$2,943.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.41 / $274.00 / $419.77	Professional		$196.41	$274.00	$419.77
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 $201.26 / $315.81 / $505.26	Professional		$201.26	$315.81	$505.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $210.06 / $374.58 / $699.62	Professional		$210.06	$374.58	$699.62
Optum Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $379.93 / $493.38	Professional		$211.15	$379.93	$493.38
United Facility/Professional Professional Modifier Low / Median / High Price $214.60 / $311.17 / $543.28	Professional		$214.60	$311.17	$543.28
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $173.30 / $240.77	Professional		$129.50	$173.30	$240.77