Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $61.80 / $82.35	Facility		$46.35	$61.80	$82.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $79.95 / $140.00	Professional		$43.96	$79.95	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Professional		$69.34	$69.34	$69.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $89.45 / $169.40	Professional		$71.11	$89.45	$169.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $84.25 / $92.49	Facility		$73.68	$84.25	$92.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $103.38 / $178.43	Professional		$59.65	$103.38	$178.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $110.58 / $177.25	Professional		$75.25	$110.58	$177.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $103.68 / $152.86	Professional		$83.68	$103.68	$152.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $98.29 / $172.48	Professional		$57.99	$98.29	$172.48