Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $354.81	Professional		$64.57	$100.00	$354.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $57.54 / $75.86	Professional	52	$57.54	$57.54	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $85.11	Professional		$64.57	$72.44	$85.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $169.82	Professional		$79.43	$123.03	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $251.19	Professional		$72.44	$112.20	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $295.12	Professional		$85.11	$112.20	$295.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $190.55	Professional		$58.88	$85.11	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $165.96	Professional		$69.18	$95.50	$165.96