Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $158.49	Facility		$102.33	$109.65	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $436.52	Professional		$93.33	$181.97	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $190.55	Professional		$107.15	$147.91	$190.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $707.95 / $758.58	Professional		$123.03	$707.95	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $269.15	Professional		$95.50	$154.88	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $338.84	Professional		$102.33	$138.04	$338.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $281.84	Professional		$109.65	$138.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $234.42	Professional		$91.20	$138.04	$234.42