Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $98.09 / $161.43	Facility		$70.19	$98.09	$161.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $97.87 / $176.12	Professional		$68.34	$97.87	$176.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $123.26 / $189.94	Professional		$100.94	$123.26	$189.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $124.41 / $143.84 / $214.40	Professional		$124.41	$143.84	$214.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $98.11 / $110.81	Facility		$96.09	$98.11	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $129.19 / $211.08	Professional		$82.37	$129.19	$211.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $99.58 / $188.04	Professional		$42.50	$99.58	$188.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $127.10 / $197.94	Professional		$95.33	$127.10	$197.94
United Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $127.70 / $230.45	Professional		$72.45	$127.70	$230.45