Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $129.81 / $724.64	Facility		$68.93	$129.81	$724.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $63.89 / $93.40	Professional		$36.65	$63.89	$93.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Professional		$37.79	$37.79	$37.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $48.62 / $183.91	Professional		$32.63	$48.62	$183.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.41 / $454.41 / $454.41	Facility		$454.41	$454.41	$454.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $72.47 / $165.29	Professional		$35.64	$72.47	$165.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $52.07 / $107.46	Professional		$39.22	$52.07	$107.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $44.25 / $110.80	Professional		$30.35	$44.25	$110.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $54.07 / $89.23	Professional		$26.06	$54.07	$89.23