Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $177.83 / $302.00	Facility		$104.71	$177.83	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $251.19	Professional		$79.43	$120.23	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $239.88	Professional		$102.33	$120.23	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $213.80	Professional		$107.15	$158.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $275.42	Professional		$120.23	$208.93	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $275.42	Professional		$123.03	$190.55	$275.42
Optum Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $288.40	Professional		$112.20	$169.82	$288.40
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10