Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $89.91 / $148.27	Facility		$61.60	$89.91	$148.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $85.86 / $161.83	Professional		$60.57	$85.86	$161.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $113.06 / $113.06	Professional		$94.83	$113.06	$113.06
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $115.53 / $188.00	Professional		$79.94	$115.53	$188.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.34 / $89.37 / $97.37	Facility		$88.34	$89.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $116.00 / $193.67	Professional		$75.03	$116.00	$193.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $91.13 / $172.18	Professional		$42.50	$91.13	$172.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $116.75 / $188.41	Professional		$87.56	$116.75	$188.41
United Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $113.06 / $207.90	Professional		$66.14	$113.06	$207.90