Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $281.39 / $281.39	Facility		$275.92	$281.39	$281.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.07 / $255.35 / $335.44	Professional		$208.07	$255.35	$335.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $267.32 / $267.32	Professional		$267.32	$267.32	$267.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $270.79 / $270.79 / $270.79	Professional		$270.79	$270.79	$270.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $345.70 / $592.20	Professional		$186.16	$345.70	$592.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.39 / $370.80 / $485.27	Professional		$288.39	$370.80	$485.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.38 / $241.03 / $431.83	Professional		$190.38	$241.03	$431.83
United Facility/Professional Professional Modifier Low / Median / High Price $190.58 / $287.16 / $499.68	Professional		$190.58	$287.16	$499.68