Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.13 / $45.13 / $241.06	Facility	26	$45.13	$45.13	$241.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $119.28 / $230.19	Professional		$94.25	$119.28	$230.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $101.27 / $111.20	Professional		$91.89	$101.27	$111.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $149.90 / $330.30	Professional		$60.58	$149.90	$330.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $162.44 / $281.50	Professional		$95.15	$162.44	$281.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $155.74 / $333.40	Professional		$127.74	$155.74	$333.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $103.67 / $169.79	Professional		$67.86	$103.67	$169.79
United Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $134.52 / $228.32	Professional		$86.68	$134.52	$228.32