Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $83.18 / $912.01	Facility		$60.26	$83.18	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $457.09	Professional		$67.61	$93.33	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $95.50	Professional		$61.66	$74.13	$95.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $190.55	Professional		$109.65	$109.65	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $158.49	Professional		$74.13	$102.33	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $190.55	Professional		$147.91	$158.49	$190.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $186.21	Professional		$70.79	$109.65	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $218.78	Facility		$77.62	$117.49	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $173.78	Professional		$64.57	$100.00	$173.78