Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $147.91	Facility		$61.66	$89.13	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $281.84	Professional		$66.07	$123.03	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $128.82	Professional		$79.43	$100.00	$128.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $186.21	Professional		$97.72	$144.54	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $112.20	Facility		$87.10	$89.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $199.53	Professional		$70.79	$109.65	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $199.53	Professional		$42.66	$75.86	$199.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $199.53	Professional		$91.20	$107.15	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $154.88	Professional		$61.66	$91.20	$154.88