Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $104.75 / $162.22	Facility		$70.19	$104.75	$162.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $99.01 / $167.50	Professional		$68.34	$99.01	$167.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $105.47 / $120.40	Professional		$96.75	$105.47	$120.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $158.27 / $205.75	Professional		$129.19	$158.27	$205.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $110.81 / $111.37	Facility		$109.78	$110.81	$111.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $130.00 / $213.11	Professional		$72.34	$130.00	$213.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $103.94 / $196.49	Professional		$51.00	$103.94	$196.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $131.47 / $203.54	Professional		$99.03	$131.47	$203.54
United Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $131.91 / $242.99	Professional		$84.43	$131.91	$242.99