Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $309.03 / $426.58	Facility	26	$138.04	$309.03	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $302.00	Professional		$107.15	$138.04	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $125.89	Professional		$97.72	$123.03	$125.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $302.00	Professional		$104.71	$169.82	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $257.04	Professional		$158.49	$186.21	$257.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $295.12	Professional		$104.71	$128.82	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $245.47	Professional		$91.20	$138.04	$245.47