Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $60.26 / $134.90	Facility		$15.49	$60.26	$134.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $57.54 / $123.03 / $269.15	Facility	25	$57.54	$123.03	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $19.95 / $50.12	Professional		$7.08	$19.95	$50.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.20 / $45.71 / $85.11	Professional	25	$18.20	$45.71	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $30.20	Professional		$17.38	$22.39	$30.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $17.38 / $22.39 / $24.55	Professional	25	$17.38	$22.39	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $173.78	Facility		$109.65	$109.65	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $38.90	Professional		$12.02	$20.42	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $199.53	Facility		$151.36	$173.78	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $23.44 / $47.86	Professional		$10.23	$23.44	$47.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $25.12 / $57.54	Professional		$9.55	$25.12	$57.54
Optum Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $43.65 / $75.86	Professional		$24.55	$43.65	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $26.92 / $54.95	Professional		$10.47	$26.92	$54.95
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $30.90	Facility		$18.20	$25.12	$30.90