Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $165.96	Facility		$72.44	$95.50	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $288.40	Professional		$70.79	$112.20	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $134.90	Professional		$89.13	$107.15	$134.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $275.42	Professional		$100.00	$177.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $123.03 / $134.90	Facility		$112.20	$123.03	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $229.09	Professional		$89.13	$138.04	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $251.19	Professional		$114.82	$158.49	$251.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $229.09	Professional		$107.15	$138.04	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $194.98	Professional		$81.28	$114.82	$194.98