Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $104.23 / $310.60	Facility		$42.20	$104.23	$310.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $40.36 / $54.98	Professional		$33.07	$40.36	$54.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $25.92 / $25.92	Professional		$25.92	$25.92	$25.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $37.38 / $37.38	Professional		$37.38	$37.38	$37.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $116.26 / $135.18	Facility		$98.82	$116.26	$135.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $54.57 / $88.83	Professional		$30.66	$54.57	$88.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $55.83 / $76.56	Professional		$46.97	$55.83	$76.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $41.23 / $72.93	Professional		$33.58	$41.23	$72.93
United Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $66.45 / $103.83	Facility		$54.94	$66.45	$103.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $46.18 / $82.29	Professional		$32.72	$46.18	$82.29