Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $75.58 / $977.87	Facility		$51.57	$75.58	$977.87
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $533.60 / $881.55 / $1,098.71	Facility	25	$533.60	$881.55	$1,098.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $66.00 / $88.38	Professional		$51.58	$66.00	$88.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.95 / $149.41 / $149.41	Professional	25	$91.95	$149.41	$149.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $98.76 / $223.91	Professional		$70.83	$98.76	$223.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.58 / $78.33 / $190.32	Professional	25	$66.58	$78.33	$190.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.28 / $1,057.28 / $1,057.28	Facility		$1,057.28	$1,057.28	$1,057.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $88.45 / $132.61	Professional		$72.73	$88.45	$132.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,586.00 / $1,586.00 / $1,951.00	Facility		$1,586.00	$1,586.00	$1,951.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $109.68 / $189.26	Professional		$77.15	$109.68	$189.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $123.39 / $239.49	Professional		$78.13	$123.39	$239.49
Optum Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $80.31 / $210.64	Professional		$68.27	$80.31	$210.64
United Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $103.16 / $188.51	Professional		$69.72	$103.16	$188.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $59.11 / $86.89	Professional		$49.26	$59.11	$86.89