Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $98.50 / $400.66	Facility		$70.19	$98.50	$400.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $98.50 / $183.09	Professional		$67.15	$98.50	$183.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $126.79 / $166.14	Professional		$107.77	$126.79	$166.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $146.79 / $238.28	Professional		$99.50	$146.79	$238.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $99.32 / $140.29	Facility		$90.00	$99.32	$140.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $132.24 / $216.06	Professional		$83.93	$132.24	$216.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $104.28 / $193.68	Professional		$46.75	$104.28	$193.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $131.50 / $203.41	Professional		$99.39	$131.50	$203.41
United Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $128.94 / $236.00	Professional		$78.91	$128.94	$236.00