Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $288.40 / $524.81	Facility	26	$72.44	$288.40	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $295.12	Professional		$104.71	$138.04	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $309.03	Professional		$107.15	$181.97	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $186.21	Professional		$154.88	$177.83	$186.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $281.84	Professional		$112.20	$158.49	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $275.42	Professional		$114.82	$162.18	$275.42