Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $105.58 / $156.38	Facility		$70.19	$105.58	$156.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $97.14 / $163.12	Professional		$64.75	$97.14	$163.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $124.37 / $168.30	Professional		$106.37	$124.37	$168.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $125.87 / $250.25	Professional		$115.00	$125.87	$250.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $112.12 / $113.78	Facility		$104.52	$112.12	$113.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $125.39 / $205.19	Professional		$70.04	$125.39	$205.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $100.15 / $193.26	Professional		$51.00	$100.15	$193.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.01 / $126.68 / $199.85	Professional		$95.01	$126.68	$199.85
United Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $124.37 / $212.75	Professional		$84.62	$124.37	$212.75