Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.42 / $296.42 / $452.00	Facility		$296.42	$296.42	$452.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $305.14 / $579.05	Professional		$263.08	$305.14	$579.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $564.50 / $564.50	Professional		$324.89	$564.50	$564.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,947.00 / $1,947.00 / $1,955.85	Professional		$1,947.00	$1,947.00	$1,955.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.62 / $455.39 / $750.90	Professional		$273.62	$455.39	$750.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $483.35 / $1,292.38	Professional		$369.25	$483.35	$1,292.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.25 / $413.15 / $722.08	Professional		$319.25	$413.15	$722.08
United Facility/Professional Professional Modifier Low / Median / High Price $287.44 / $427.56 / $725.72	Professional		$287.44	$427.56	$725.72