Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.79 / $120.79 / $211.89	Facility		$120.79	$120.79	$211.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $120.79 / $168.98	Professional		$106.04	$120.79	$168.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $112.44 / $117.63	Professional		$112.44	$112.44	$117.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $948.00 / $948.00 / $948.00	Professional		$948.00	$948.00	$948.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Facility		$115.00	$115.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $154.06 / $265.48	Professional		$104.13	$154.06	$265.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $160.57 / $231.49	Professional		$120.43	$160.57	$231.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $147.31 / $241.00	Professional		$99.37	$147.31	$241.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $127.76 / $231.97	Professional		$90.22	$127.76	$231.97