Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.81 / $201.38 / $357.68	Facility		$57.81	$201.38	$357.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $62.34 / $103.32	Professional		$49.88	$62.34	$103.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $64.08 / $64.08	Professional		$64.08	$64.08	$64.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $69.00 / $227.80	Professional		$42.55	$69.00	$227.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $65.16 / $82.44	Facility		$52.40	$65.16	$82.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $89.18 / $156.09	Professional		$51.62	$89.18	$156.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $81.03 / $173.70	Professional		$66.55	$81.03	$173.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $51.37 / $99.14	Professional		$22.79	$51.37	$99.14
United Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $69.47 / $118.55	Professional		$45.05	$69.47	$118.55