Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $549.54 / $1,698.24	Facility		$436.52	$549.54	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $812.83	Professional		$162.18	$234.42	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $288.40	Professional		$147.91	$165.96	$288.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $870.96	Professional		$204.17	$275.42	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $416.87	Professional		$158.49	$234.42	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $269.15	Professional		$229.09	$263.03	$269.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $371.54	Professional		$158.49	$218.78	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $380.19	Professional		$141.25	$208.93	$380.19