Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $71.26 / $108.97	Facility		$62.87	$71.26	$108.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $92.03 / $123.05	Professional		$71.09	$92.03	$123.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $124.29 / $216.84	Professional		$111.81	$124.29	$216.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $169.06 / $328.50	Professional		$106.82	$169.06	$328.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $138.47 / $224.39	Professional		$78.12	$138.47	$224.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $117.05 / $176.10	Professional		$36.00	$117.05	$176.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $115.66 / $169.71	Professional		$86.28	$115.66	$169.71
United Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $105.79 / $194.79	Professional		$61.93	$105.79	$194.79