Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,479.11	Professional		$616.60	$870.96	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $724.44 / $831.76	Professional		$302.00	$724.44	$831.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,691.53	Professional		$776.25	$1,174.90	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,548.82	Professional		$912.01	$1,202.26	$1,548.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,949.84	Professional		$602.56	$1,047.13	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,698.24	Professional		$630.96	$870.96	$1,698.24