Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $68.56 / $80.67	Facility		$53.41	$68.56	$80.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $64.84 / $87.02	Professional		$51.11	$64.84	$87.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $67.40 / $79.30	Professional		$57.24	$67.40	$79.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $100.20 / $184.66	Professional		$65.42	$100.20	$184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $74.00 / $120.99	Professional		$32.50	$74.00	$120.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $108.64 / $141.08	Professional		$108.64	$108.64	$141.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $78.14 / $108.79	Professional		$56.63	$78.14	$108.79
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $72.31 / $126.72	Professional		$40.00	$72.31	$126.72