Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $3,259.00 / $9,487.73	Facility		$79.68	$3,259.00	$9,487.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $175.71 / $281.30	Professional		$71.20	$175.71	$281.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $152.74 / $189.15	Professional		$152.74	$152.74	$189.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $199.33 / $199.33 / $199.33	Professional		$199.33	$199.33	$199.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $158.94 / $395.15	Professional		$74.79	$158.94	$395.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $197.34 / $270.11 / $493.35	Professional		$197.34	$270.11	$493.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $184.25 / $331.37	Professional		$61.01	$184.25	$331.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,133.00 / $3,236.00 / $7,250.00	Facility		$1,133.00	$3,236.00	$7,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.27 / $238.90 / $463.79	Professional		$168.27	$238.90	$463.79