Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.14 / $247.14 / $512.41	Facility		$247.14	$247.14	$512.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $247.14 / $384.84	Professional		$189.71	$247.14	$384.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.13 / $282.45 / $512.04	Professional		$263.13	$282.45	$512.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $236.06 / $236.06	Professional		$236.06	$236.06	$236.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.99 / $318.76 / $573.74	Professional		$229.99	$318.76	$573.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $292.76 / $390.35 / $562.75	Professional		$292.76	$390.35	$562.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $285.55 / $484.52	Professional		$192.64	$285.55	$484.52
United Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $258.92 / $474.12	Professional		$183.52	$258.92	$474.12