Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $138.04	Facility		$70.79	$93.33	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $331.13	Professional		$67.61	$123.03	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $154.88	Professional		$93.33	$109.65	$154.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $263.03 / $338.84	Professional		$107.15	$263.03	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $239.88	Professional		$83.18	$141.25	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $173.78	Professional		$36.31	$67.61	$173.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $199.53	Professional		$87.10	$117.49	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $138.04	Facility		$70.79	$70.79	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $186.21	Professional		$61.66	$104.71	$186.21