Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $31.28 / $134.65	Facility		$11.41	$31.28	$134.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $95.08 / $95.08 / $269.10	Facility	25	$95.08	$95.08	$269.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $20.26 / $29.46	Professional		$8.06	$20.26	$29.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $8.23 / $18.98 / $41.74	Professional	25	$8.23	$18.98	$41.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $30.12 / $54.96	Professional		$23.17	$30.12	$54.96
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $32.44 / $46.72 / $76.17	Professional	25	$32.44	$46.72	$76.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.79 / $99.53 / $164.16	Facility		$66.79	$99.53	$164.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.45 / $36.74	Professional		$9.77	$20.45	$36.74
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 $10.31 / $24.27 / $51.08	Professional		$10.31	$24.27	$51.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $27.03 / $68.65	Professional		$10.11	$27.03	$68.65
Optum Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $41.97 / $67.12	Professional		$24.16	$41.97	$67.12
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $34.90 / $68.87	Professional		$24.15	$34.90	$68.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $16.69 / $25.69	Professional		$7.81	$16.69	$25.69