Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $158.49 / $158.49	Facility		$64.57	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $85.11	Professional		$28.18	$50.12	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $79.43	Professional		$32.36	$56.23	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $104.71	Professional		$40.74	$69.18	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $97.72	Professional		$38.90	$63.10	$97.72
Optum Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $141.25	Professional		$46.77	$74.13	$141.25
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62