Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $35.95 / $40.63	Facility		$15.99	$35.95	$40.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.69 / $26.81	Professional		$10.11	$14.69	$26.81
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $25.59 / $30.10	Professional	25	$24.50	$25.59	$30.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $19.36 / $33.28	Professional		$11.93	$19.36	$33.28
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $16.13 / $16.13 / $33.28	Professional	25	$16.13	$16.13	$33.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $15.80 / $30.69	Professional		$11.32	$15.80	$30.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $20.99 / $34.56	Professional		$13.44	$20.99	$34.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $24.14 / $45.10	Professional		$13.54	$24.14	$45.10
Optum Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $13.59 / $13.59	Professional		$13.59	$13.59	$13.59
United Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $22.46 / $38.86	Professional		$14.82	$22.46	$38.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $13.02 / $17.67	Professional		$10.09	$13.02	$17.67