Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $113.72 / $181.78	Facility		$79.16	$113.72	$181.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $110.82 / $195.73	Professional		$78.84	$110.82	$195.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $135.22 / $189.26	Professional		$122.77	$135.22	$189.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $146.33 / $220.00	Professional		$137.87	$146.33	$220.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.18 / $120.83 / $130.94	Facility		$119.18	$120.83	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $147.65 / $240.72	Professional		$83.21	$147.65	$240.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $116.75 / $220.56	Professional		$51.00	$116.75	$220.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $148.97 / $231.97	Professional		$111.73	$148.97	$231.97
United Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $144.87 / $263.80	Professional		$90.25	$144.87	$263.80