Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $89.50 / $147.78	Facility		$61.60	$89.50	$147.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $86.51 / $163.68	Professional		$60.57	$86.51	$163.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $122.66 / $122.66	Professional		$94.83	$122.66	$122.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $116.32 / $186.11	Professional		$113.93	$116.32	$186.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.17 / $88.16 / $97.37	Facility		$87.17	$88.16	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $115.91 / $193.45	Professional		$74.12	$115.91	$193.45
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 $87.25 / $117.07 / $183.61	Professional		$87.25	$117.07	$183.61
United Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $102.95 / $207.21	Professional		$64.97	$102.95	$207.21