Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $85.11 / $190.55	Facility		$74.13	$85.11	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $95.50	Professional		$51.29	$69.18	$95.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $14.45 / $14.45	Professional	25	$14.45	$14.45	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $85.11	Professional		$57.54	$67.61	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $138.04	Professional		$79.43	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $177.83	Professional		$89.13	$128.82	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $186.21	Professional		$85.11	$138.04	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $190.55	Professional		$77.62	$100.00	$190.55
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95