Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.17 / $97.58 / $151.24	Facility		$85.17	$97.58	$151.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $96.39 / $159.04	Professional		$79.38	$96.39	$159.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $117.70 / $117.70	Professional		$102.65	$117.70	$117.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $121.13 / $144.21	Professional		$120.78	$121.13	$144.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.26 / $124.96 / $132.57	Facility		$114.26	$124.96	$132.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $133.47 / $209.65	Professional		$82.15	$133.47	$209.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $161.25 / $212.05	Professional		$126.16	$161.25	$212.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $131.07 / $194.83	Professional		$104.02	$131.07	$194.83
United Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $120.99 / $226.64	Professional		$94.03	$120.99	$226.64