Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $158.11 / $158.11	Facility		$158.11	$158.11	$158.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $158.11 / $231.69	Professional		$113.38	$158.11	$231.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $168.77 / $182.00	Professional	25	$115.53	$168.77	$182.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $178.23 / $178.23	Professional		$159.63	$178.23	$178.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $156.18 / $157.90 / $163.95	Professional	25	$156.18	$157.90	$163.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $180.52 / $182.40 / $564.12	Professional		$180.52	$182.40	$564.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $187.13	Facility		$90.00	$90.00	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.17 / $233.48 / $319.79	Professional		$190.17	$233.48	$319.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $182.40 / $188.65	Professional		$155.04	$182.40	$188.65
United Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $180.90 / $335.44	Professional		$131.28	$180.90	$335.44