Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $186.21 / $912.01	Facility		$56.23	$186.21	$912.01
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $537.03 / $891.25 / $1,202.26	Facility	25	$537.03	$891.25	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $162.18	Professional		$50.12	$66.07	$162.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $173.78 / $245.47	Professional	25	$70.79	$173.78	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $138.04	Professional		$57.54	$70.79	$138.04
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $60.26 / $70.79 / $95.50	Professional	25	$60.26	$70.79	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $131.83	Professional		$69.18	$89.13	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,949.84	Facility		$1,584.89	$1,584.89	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $177.83	Professional		$64.57	$104.71	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $181.97	Professional		$79.43	$112.20	$181.97
Optum Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $208.93	Professional		$67.61	$79.43	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $194.98	Professional		$69.18	$104.71	$194.98
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $70.79 / $87.10	Facility		$52.48	$70.79	$87.10