Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $223.87 / $1,548.82	Facility		$100.00	$223.87	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $616.60	Professional		$141.25	$204.17	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $309.03	Professional		$173.78	$204.17	$309.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $436.52	Professional		$199.53	$302.00	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $223.87 / $275.42	Facility		$204.17	$223.87	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $426.58	Professional		$173.78	$257.04	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $457.09	Professional		$147.91	$288.40	$457.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $407.38	Professional		$190.55	$251.19	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $363.08	Professional		$141.25	$213.80	$363.08