Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $33.81 / $432.60	Facility		$33.81	$33.81	$432.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $358.26	Professional		$30.00	$40.00	$358.26
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,091.40 / $1,271.16 / $1,296.83	Professional	AA	$1,091.40	$1,271.16	$1,296.83
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $828.00 / $828.00 / $828.00	Professional	QZ	$828.00	$828.00	$828.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $1,357.52	Professional		$400.00	$400.00	$1,357.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $480.00 / $685.00	Professional		$305.00	$480.00	$685.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $492.00 / $780.00	Professional		$132.30	$492.00	$780.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $75.00 / $112.00	Professional		$52.00	$75.00	$112.00