Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,548.82	Facility		$331.13	$562.34	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $489.78	Professional		$190.55	$223.87	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $1,174.90	Facility		$295.12	$562.34	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $588.84	Professional		$173.78	$275.42	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $489.78	Professional		$181.97	$288.40	$489.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $9,549.93 / $25,118.86	Facility		$138.04	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $257.04	Professional		$204.17	$204.17	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $524.81	Facility		$120.23	$257.04	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $380.19	Professional		$107.15	$154.88	$380.19