Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $71.37 / $150.22	Facility		$41.68	$71.37	$150.22
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $93.70 / $257.55 / $541.16	Facility	25	$93.70	$257.55	$541.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $44.03 / $74.23	Professional		$24.52	$44.03	$74.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.11 / $57.45 / $110.13	Professional	25	$33.11	$57.45	$110.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $64.25 / $78.22	Professional		$39.25	$64.25	$78.22
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $53.19 / $65.54 / $183.67	Professional	25	$53.19	$65.54	$183.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.74 / $164.16 / $243.64	Facility		$145.74	$164.16	$243.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $57.45 / $83.07	Professional		$36.68	$57.45	$83.07
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 $39.22 / $66.69 / $123.84	Professional		$39.22	$66.69	$123.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $80.94 / $166.72	Professional		$40.82	$80.94	$166.72
Optum Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $75.05 / $96.73	Professional		$49.10	$75.05	$96.73
United Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $73.90 / $150.59	Professional		$47.74	$73.90	$150.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $31.80 / $49.98	Professional		$21.67	$31.80	$49.98