Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $49.78 / $96.95	Facility		$43.92	$49.78	$96.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $70.04 / $109.95	Professional		$45.98	$70.04	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $87.49 / $145.29	Professional		$68.30	$87.49	$145.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $113.57 / $216.75	Professional		$74.64	$113.57	$216.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $95.85 / $153.40	Professional		$54.46	$95.85	$153.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $78.89 / $118.68	Professional		$36.00	$78.89	$118.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $85.82 / $120.35	Professional		$59.87	$85.82	$120.35
United Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $75.17 / $140.09	Professional		$43.58	$75.17	$140.09