Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $72.25 / $139.86	Facility		$63.75	$72.25	$139.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $95.16 / $126.89	Professional		$72.25	$95.16	$126.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $129.47 / $212.49	Professional		$108.31	$129.47	$212.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $168.12 / $462.30	Professional		$110.67	$168.12	$462.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $143.19 / $230.99	Professional		$89.45	$143.19	$230.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $154.99 / $355.86	Professional		$114.34	$154.99	$355.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $120.36 / $176.13	Professional		$87.03	$120.36	$176.13
United Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $115.59 / $206.50	Professional		$76.02	$115.59	$206.50