Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.45 / $122.00 / $624.00	Facility		$84.45	$122.00	$624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $88.00 / $160.85	Professional		$72.20	$88.00	$160.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $131.75	Professional		$131.75	$131.75	$131.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $70.93 / $70.93	Professional		$70.93	$70.93	$70.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.05 / $128.13 / $157.88	Facility		$103.05	$128.13	$157.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $126.73 / $229.25	Professional		$73.06	$126.73	$229.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $118.29 / $253.01	Professional		$96.94	$118.29	$253.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $78.06 / $118.37	Professional		$54.65	$78.06	$118.37
United Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
United Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $101.81 / $174.23	Professional		$66.70	$101.81	$174.23