Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $93.05 / $164.78	Facility		$81.78	$93.05	$164.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $91.93 / $124.81	Professional		$72.20	$91.93	$124.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $73.26 / $83.21	Professional		$67.64	$73.26	$83.21
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $75.95 / $75.95	Professional		$75.95	$75.95	$75.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $86.09 / $94.39	Facility		$86.09	$86.09	$94.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $94.00 / $163.15	Professional		$67.14	$94.00	$163.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $145.44 / $146.61	Professional		$65.00	$145.44	$146.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.62 / $390.62 / $390.62	Facility		$390.62	$390.62	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $110.54 / $152.56	Professional		$79.41	$110.54	$152.56
United Facility/Professional Facility Modifier Low / Median / High Price $92.62 / $92.62 / $98.74	Facility		$92.62	$92.62	$98.74
United Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $99.58 / $178.73	Professional		$70.31	$99.58	$178.73