Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $3,384.00 / $9,784.00	Facility		$81.16	$3,384.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $148.72 / $227.20	Professional		$66.50	$148.72	$227.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $67.40 / $68.36	Professional		$67.40	$67.40	$68.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $375.73 / $375.73 / $375.73	Professional		$375.73	$375.73	$375.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $83.04 / $191.69	Facility		$83.04	$83.04	$191.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $176.99 / $399.81	Professional		$74.92	$176.99	$399.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.69 / $304.44 / $377.11	Professional		$221.69	$304.44	$377.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $168.24 / $276.47	Professional		$65.81	$168.24	$276.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $218.54 / $455.36	Professional		$157.50	$218.54	$455.36