Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $145.58 / $145.58	Facility		$145.58	$145.58	$145.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $143.10 / $198.47	Professional		$121.35	$143.10	$198.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $35.00 / $37.11	Professional		$20.39	$35.00	$37.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $147.10	Facility		$147.10	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $125.04	Professional		$107.38	$125.04	$125.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $17.26 / $143.49	Professional		$11.78	$17.26	$143.49