Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $194.98 / $354.81	Facility	26	$58.88	$194.98	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $512.86	Professional		$102.33	$190.55	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $151.36	Professional		$91.20	$104.71	$151.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $134.90 / $331.13	Professional		$58.88	$134.90	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $263.03	Professional		$97.72	$162.18	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $194.98	Professional		$134.90	$141.25	$194.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $229.09	Professional		$100.00	$123.03	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $229.09	Professional		$89.13	$125.89	$229.09