Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.44 / $145.16 / $221.28	Facility		$106.44	$145.16	$221.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $136.94 / $251.47	Professional		$98.35	$136.94	$251.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $169.22 / $285.98	Professional		$152.22	$169.22	$285.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $177.06 / $392.00	Professional		$131.25	$177.06	$392.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.44 / $163.28	Facility		$100.00	$151.44	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $184.99 / $292.20	Professional		$105.88	$184.99	$292.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $142.08 / $268.22	Professional		$85.00	$142.08	$268.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $191.72 / $292.00	Professional		$155.91	$191.72	$292.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $176.38 / $320.99	Professional		$117.84	$176.38	$320.99