Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $295.12	Facility		$74.13	$112.20	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $147.91	Professional		$26.92	$35.48	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $48.98	Professional		$26.30	$30.90	$48.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $32.36	Professional		$31.62	$31.62	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $95.50	Professional		$28.84	$45.71	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $61.66	Professional		$33.11	$44.67	$61.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $79.43	Professional		$24.55	$35.48	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $64.57	Professional		$22.39	$33.88	$64.57