Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.55 / $872.77 / $1,385.47	Facility		$287.55	$872.77	$1,385.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.13 / $771.68 / $790.27	Professional		$470.13	$771.68	$790.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $541.61 / $541.61 / $541.61	Professional		$541.61	$541.61	$541.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $298.89 / $434.52 / $760.41	Facility		$298.89	$434.52	$760.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.36 / $1,152.34 / $1,192.36	Professional		$495.36	$1,152.34	$1,192.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $790.27 / $790.27 / $790.27	Professional		$790.27	$790.27	$790.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.72 / $383.72 / $383.72	Professional		$383.72	$383.72	$383.72
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $929.73	Professional		$883.24	$883.24	$929.73