Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $223.87 / $407.38	Facility	26	$64.57	$223.87	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $316.23	Professional		$93.33	$141.25	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $549.54	Professional		$95.50	$204.17	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $218.78	Professional		$134.90	$158.49	$218.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $323.59	Professional		$107.15	$125.89	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $478.63	Professional		$89.13	$165.96	$478.63