Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $58.88 / $724.44	Facility		$42.66	$58.88	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $234.42	Professional		$52.48	$85.11	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $104.71	Professional		$61.66	$77.62	$104.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $229.09	Professional		$74.13	$114.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $158.49	Professional		$56.23	$97.72	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $114.82	Professional		$36.31	$54.95	$114.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $138.04	Professional		$60.26	$87.10	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $95.50	Facility		$51.29	$51.29	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $125.89	Professional		$43.65	$70.79	$125.89