Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $132.47 / $204.07	Facility		$97.08	$132.47	$204.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $127.75 / $242.04	Professional		$89.85	$127.75	$242.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $161.40 / $258.24	Professional		$136.97	$161.40	$258.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $199.09 / $297.13	Professional		$163.65	$199.09	$297.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $139.83 / $152.08	Facility		$93.00	$139.83	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $170.63 / $270.24	Professional		$96.79	$170.63	$270.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $119.40 / $285.81	Professional		$68.00	$119.40	$285.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.37 / $178.79 / $259.75	Professional		$143.37	$178.79	$259.75
United Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $159.82 / $275.87	Professional		$109.68	$159.82	$275.87