Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $100.00	Facility		$40.74	$58.88	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $257.04	Professional		$54.95	$91.20	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $107.15	Professional		$63.10	$79.43	$107.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $239.88	Professional		$75.86	$104.71	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $186.21	Professional		$64.57	$97.72	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $123.03	Professional		$36.31	$56.23	$123.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $141.25	Professional		$60.26	$83.18	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $95.50	Facility		$85.11	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $128.82	Professional		$54.95	$77.62	$128.82