Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,570.88 / $10,471.29	Facility		$478.63	$4,570.88	$10,471.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $3,019.95 / $5,888.44	Facility	50	$851.14	$3,019.95	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $269.15	Professional		$48.98	$91.20	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $281.84 / $416.87	Professional	50	$125.89	$281.84	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $95.50 / $117.49	Professional	50	$95.50	$95.50	$117.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $263.03	Professional		$56.23	$109.65	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $165.96	Professional		$81.28	$120.23	$165.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $95.50 / $331.13	Professional		$41.69	$95.50	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $85.11 / $177.83	Professional		$41.69	$85.11	$177.83