Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.49 / $433.28 / $1,601.08	Facility		$311.49	$433.28	$1,601.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $162.30 / $266.43	Professional		$138.56	$162.30	$266.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $176.17 / $290.06	Professional		$128.22	$176.17	$290.06
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $178.05 / $278.79 / $1,062.00	Professional		$178.05	$278.79	$1,062.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.14 / $1,051.14 / $1,051.14	Facility		$1,051.14	$1,051.14	$1,051.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $206.05 / $364.85	Professional		$139.54	$206.05	$364.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $226.61 / $226.61	Professional		$195.38	$226.61	$226.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $192.31 / $278.02	Professional		$139.77	$192.31	$278.02
United Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $188.61 / $319.95	Professional		$122.97	$188.61	$319.95