Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $135.88 / $165.64	Facility		$101.91	$135.88	$165.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $149.09 / $222.58	Professional		$101.91	$149.09	$222.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $154.78 / $179.52	Professional		$126.69	$154.78	$179.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $228.00 / $397.80	Professional		$159.94	$228.00	$397.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $172.84 / $178.68	Facility		$156.97	$172.84	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $218.15 / $358.66	Professional		$130.00	$218.15	$358.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $235.96 / $344.78	Professional		$114.75	$235.96	$344.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $208.61 / $311.95	Professional		$155.97	$208.61	$311.95
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $191.52 / $351.00	Professional		$128.47	$191.52	$351.00