Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $208.93	Facility		$93.33	$138.04	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $169.82	Professional		$57.54	$85.11	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $169.82	Professional		$66.07	$91.20	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $147.91	Professional		$74.13	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $186.21	Professional		$83.18	$141.25	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $194.98	Professional		$85.11	$134.90	$194.98
Optum Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $204.17	Professional		$81.28	$117.49	$204.17
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26