Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $169.57 / $255.77	Facility		$127.18	$169.57	$255.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $183.57 / $269.95	Professional		$124.97	$183.57	$269.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $177.80 / $207.64	Professional		$170.13	$177.80	$207.64
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $234.49 / $369.20	Professional		$197.54	$234.49	$369.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $223.43 / $240.39	Facility		$202.54	$223.43	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $273.44 / $437.01	Professional		$170.00	$273.44	$437.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $306.33 / $491.97	Professional		$175.00	$306.33	$491.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.48 / $253.72 / $375.12	Professional		$190.48	$253.72	$375.12
United Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $244.38 / $426.76	Professional		$159.27	$244.38	$426.76