Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $73.98 / $115.87	Facility		$42.10	$73.98	$115.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $55.07 / $84.00	Professional		$37.53	$55.07	$84.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $65.39 / $112.39	Professional		$46.31	$65.39	$112.39
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $155.76 / $155.76 / $155.76	Professional	25	$155.76	$155.76	$155.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $59.55 / $93.46	Professional		$41.77	$59.55	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $80.06 / $114.56	Professional		$49.55	$80.06	$114.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $88.93 / $166.86	Professional		$54.98	$88.93	$166.86
Optum Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $63.37 / $63.37	Professional		$63.37	$63.37	$63.37
United Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $58.67 / $114.23	Professional		$43.08	$58.67	$114.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $35.09 / $52.99	Professional		$30.04	$35.09	$52.99