Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $216.00	Professional		$150.00	$150.00	$216.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $120.00 / $225.00	Facility		$90.00	$120.00	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $148.31	Professional		$90.00	$120.00	$148.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $100.00 / $150.00	Professional		$70.00	$100.00	$150.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $92.62 / $108.97	Professional		$92.62	$92.62	$108.97