Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $97.41 / $154.85	Facility		$61.60	$97.41	$154.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $91.98 / $160.00	Professional		$60.57	$91.98	$160.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $122.66 / $124.68	Professional		$100.93	$122.66	$124.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $120.74 / $216.84	Professional		$84.66	$120.74	$216.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $104.38 / $105.84	Facility		$97.37	$104.38	$105.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $116.31 / $196.66	Professional		$63.72	$116.31	$196.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $95.50 / $183.92	Professional		$51.00	$95.50	$183.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $121.35 / $196.52	Professional		$91.26	$121.35	$196.52
United Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $108.02 / $216.18	Professional		$77.19	$108.02	$216.18