Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.11 / $43.11 / $62.86	Facility		$43.11	$43.11	$62.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $45.86 / $71.27	Professional		$33.33	$45.86	$71.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $71.48 / $71.69	Professional		$71.48	$71.48	$71.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $91.08 / $123.87	Professional		$73.68	$91.08	$123.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.51 / $313.30 / $313.30	Facility		$283.51	$313.30	$313.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $61.91 / $72.83	Professional		$52.62	$61.91	$72.83
United Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $66.73 / $121.05	Professional		$43.17	$66.73	$121.05