Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $75.87 / $108.05	Professional		$36.26	$75.87	$108.05
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $88.51 / $88.51 / $88.51	Professional	25	$88.51	$88.51	$88.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $72.72 / $72.72	Professional		$72.72	$72.72	$72.72
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $61.91 / $101.96 / $101.96	Professional	25	$61.91	$101.96	$101.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $91.91 / $168.09	Professional		$72.45	$91.91	$168.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $135.24 / $202.51	Professional		$84.43	$135.24	$202.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $143.30 / $273.25	Professional		$86.17	$143.30	$273.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $134.18 / $209.78	Professional		$95.62	$134.18	$209.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $78.91 / $3,000.00	Professional		$65.76	$78.91	$3,000.00