Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $57.67 / $647.02	Facility		$42.39	$57.67	$647.02
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $100.00 / $599.04 / $702.00	Facility	25	$100.00	$599.04	$702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $49.03 / $66.00	Professional		$35.46	$49.03	$66.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $48.42 / $124.56	Professional		$41.96	$48.42	$124.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.88 / $458.88 / $458.88	Facility		$458.88	$458.88	$458.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $59.13 / $82.90	Professional		$44.03	$59.13	$82.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $560.00 / $833.00	Facility		$560.00	$560.00	$833.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $69.70 / $111.25	Professional		$42.71	$69.70	$111.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $73.11 / $141.88	Professional		$46.29	$73.11	$141.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $48.83 / $134.24	Professional		$41.50	$48.83	$134.24
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $69.75 / $126.06	Professional		$39.36	$69.75	$126.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $39.54 / $58.14	Professional		$32.96	$39.54	$58.14