Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.34 / $123.34 / $123.34	Facility		$123.34	$123.34	$123.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $123.34 / $123.34	Professional		$77.44	$123.34	$123.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $176.51 / $176.51	Professional		$176.51	$176.51	$176.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $115.15 / $181.36	Professional		$58.98	$115.15	$181.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $114.22 / $114.22	Professional		$24.15	$114.22	$114.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $68.56 / $71.95	Professional		$58.28	$68.56	$71.95
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $79.22 / $133.18	Professional		$48.22	$79.22	$133.18