Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $80.95 / $138.93	Facility		$52.64	$80.95	$138.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $78.54 / $154.00	Professional		$52.64	$78.54	$154.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $106.35 / $106.35	Professional		$96.19	$106.35	$106.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $108.31 / $176.00	Professional		$75.63	$108.31	$176.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $79.91 / $88.85	Facility		$78.93	$79.91	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $103.72 / $176.30	Professional		$56.84	$103.72	$176.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $90.00 / $161.80	Professional		$42.50	$90.00	$161.80
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $109.59 / $176.70	Professional		$82.08	$109.59	$176.70
United Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $106.35 / $201.37	Professional		$57.08	$106.35	$201.37