Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $103.42 / $208.94	Facility		$75.00	$103.42	$208.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $82.40 / $153.58	Professional		$67.53	$82.40	$153.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $88.10 / $160.88	Professional		$74.89	$88.10	$160.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $96.26 / $148.78	Professional		$77.14	$96.26	$148.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $135.07 / $182.76	Professional		$78.98	$135.07	$182.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $143.76 / $269.73	Professional		$88.88	$143.76	$269.73
Optum Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $145.66 / $145.66	Professional		$145.66	$145.66	$145.66
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $106.35 / $186.48	Professional		$77.38	$106.35	$186.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $66.37 / $97.57	Professional		$60.29	$66.37	$97.57