Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $302.00 / $389.05	Facility		$131.83	$302.00	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $181.97	Professional		$70.79	$107.15	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $112.20	Professional		$102.33	$109.65	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $251.19	Professional		$93.33	$154.88	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $269.15	Professional		$104.71	$158.49	$269.15
Optum Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $151.36	Professional		$104.71	$138.04	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $263.03	Professional		$104.71	$151.36	$263.03
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $144.54	Facility		$85.11	$100.00	$144.54