Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $173.78	Facility		$79.43	$107.15	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $363.08	Professional		$85.11	$151.36	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $162.18	Professional		$97.72	$120.23	$162.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $269.15	Professional		$117.49	$173.78	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $109.65 / $147.91	Facility		$97.72	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $234.42	Professional		$89.13	$134.90	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $234.42	Professional		$54.95	$89.13	$234.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $234.42	Professional		$107.15	$125.89	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $190.55	Professional		$79.43	$112.20	$190.55