Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $66.91 / $86.79	Facility		$59.04	$66.91	$86.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $98.13 / $159.00	Professional		$63.78	$98.13	$159.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $85.54 / $151.32	Professional		$77.76	$85.54	$151.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $237.15 / $319.50	Professional		$75.89	$237.15	$319.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $128.11 / $205.12	Professional		$74.14	$128.11	$205.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $83.05 / $124.95	Professional		$36.00	$83.05	$124.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $115.34 / $165.04	Professional		$93.85	$115.34	$165.04
United Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $95.19 / $190.23	Professional		$53.48	$95.19	$190.23