Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $107.47 / $169.58	Facility		$79.16	$107.47	$169.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $106.16 / $194.84	Professional		$73.26	$106.16	$194.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $136.22 / $215.30	Professional		$114.38	$136.22	$215.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $150.00 / $241.40	Professional		$127.47	$150.00	$241.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $109.58 / $148.83	Facility		$93.00	$109.58	$148.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $144.29 / $230.00	Professional		$90.67	$144.29	$230.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $125.87 / $218.44	Professional		$55.25	$125.87	$218.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $142.33 / $219.65	Professional		$103.89	$142.33	$219.65
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $138.19 / $251.00	Professional		$84.87	$138.19	$251.00