Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $131.83 / $331.13	Facility		$114.82	$131.83	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $173.78	Professional		$67.61	$104.71	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $190.55	Professional		$77.62	$134.90	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $229.09	Professional		$91.20	$162.18	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $229.09	Professional		$91.20	$147.91	$229.09
Optum Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $309.03	Professional		$109.65	$162.18	$309.03
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61