Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $213.21 / $377.75	Facility		$153.72	$213.21	$377.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $204.80 / $296.70	Professional		$148.18	$204.80	$296.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $289.11 / $289.11 / $289.11	Professional	25	$289.11	$289.11	$289.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $258.31 / $271.92	Professional		$231.34	$258.31	$271.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $304.22 / $304.22	Professional		$304.22	$304.22	$304.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $257.33 / $257.33	Facility		$257.33	$257.33	$257.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $285.20 / $467.94	Professional		$175.41	$285.20	$467.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.24 / $407.38 / $534.40	Professional		$317.24	$407.38	$534.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $224.89 / $456.72	Facility		$224.89	$224.89	$456.72
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $288.92 / $439.04	Professional		$226.53	$288.92	$439.04
United Facility/Professional Professional Modifier Low / Median / High Price $194.21 / $276.87 / $502.08	Professional		$194.21	$276.87	$502.08