Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $54.27 / $100.00	Facility		$37.08	$54.27	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $54.14 / $88.81	Professional		$41.27	$54.14	$88.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $64.81 / $64.81	Professional		$60.24	$64.81	$64.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $69.86 / $69.86	Professional		$65.78	$69.86	$69.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $64.72 / $75.64	Facility		$48.00	$64.72	$75.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $73.34 / $115.71	Professional		$44.19	$73.34	$115.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $92.12 / $120.17	Professional		$71.53	$92.12	$120.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $73.73 / $112.39	Professional		$58.61	$73.73	$112.39
United Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $68.78 / $128.81	Professional		$49.50	$68.78	$128.81