Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $74.79 / $78.34	Facility		$32.43	$74.79	$78.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $27.75 / $46.37	Professional		$20.75	$27.75	$46.37
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $53.90 / $53.90 / $53.90	Professional	25	$53.90	$53.90	$53.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $87.78 / $87.78	Professional		$26.58	$87.78	$87.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $29.24 / $29.24 / $29.24	Professional	25	$29.24	$29.24	$29.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $30.30 / $63.95	Professional		$23.94	$30.30	$63.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $43.11 / $66.80	Professional		$27.56	$43.11	$66.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $47.70 / $90.26	Professional		$28.55	$47.70	$90.26
Optum Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $26.50	Professional		$26.50	$26.50	$26.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $41.96 / $84.61	Professional		$29.14	$41.96	$84.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $64.48 / $80.61	Professional		$53.74	$64.48	$80.61