Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $352.56 / $2,635.92	Facility		$94.70	$352.56	$2,635.92
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $776.45 / $988.20 / $2,879.22	Facility	25	$776.45	$988.20	$2,879.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $120.77 / $167.52	Professional		$94.71	$120.77	$167.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.58 / $99.38 / $280.42	Professional	25	$95.58	$99.38	$280.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $133.54 / $275.44	Professional		$112.52	$133.54	$275.44
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $120.76 / $150.94 / $381.74	Professional	25	$120.76	$150.94	$381.74
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 $124.93 / $167.76 / $235.21	Professional		$124.93	$167.76	$235.21
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 $131.40 / $199.99 / $321.95	Professional		$131.40	$199.99	$321.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $210.54 / $408.64	Professional		$133.31	$210.54	$408.64
Optum Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $136.26 / $201.00	Professional		$115.82	$136.26	$201.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.60 / $187.80 / $346.13	Professional		$122.60	$187.80	$346.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $108.43 / $159.40	Professional		$90.36	$108.43	$159.40