Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.00 / $307.00 / $618.27	Facility		$307.00	$307.00	$618.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $307.00 / $456.18	Professional		$225.83	$307.00	$456.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $332.33 / $470.36	Professional		$168.00	$332.33	$470.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $328.26 / $516.53 / $812.22	Professional		$328.26	$516.53	$812.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.55 / $382.05 / $690.62	Professional		$278.55	$382.05	$690.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $469.85 / $677.36	Professional		$352.39	$469.85	$677.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.87 / $333.10 / $582.75	Professional		$228.87	$333.10	$582.75
United Facility/Professional Professional Modifier Low / Median / High Price $227.39 / $308.57 / $533.51	Professional		$227.39	$308.57	$533.51