Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.85 / $61.85 / $97.32	Facility		$61.85	$61.85	$97.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $63.95 / $127.72	Professional		$53.27	$63.95	$127.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $75.43 / $120.69	Professional		$69.73	$75.43	$120.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $106.59 / $585.75	Professional		$106.59	$106.59	$585.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $98.62 / $161.68	Professional		$64.15	$98.62	$161.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $96.16 / $136.36	Professional		$70.94	$96.16	$136.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $82.30 / $141.65	Professional		$65.01	$82.30	$141.65
United Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $99.26 / $156.59	Professional		$62.19	$99.26	$156.59