Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $323.79 / $323.79	Facility		$156.91	$323.79	$323.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $347.68 / $428.86	Professional		$249.88	$347.68	$428.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.57 / $471.57 / $471.57	Professional		$471.57	$471.57	$471.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $486.14 / $486.14 / $887.20	Professional		$486.14	$486.14	$887.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $490.62	Facility		$465.67	$465.67	$490.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $566.63	Professional		$339.94	$339.94	$566.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $451.37 / $539.67 / $834.31	Professional		$451.37	$539.67	$834.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.16 / $557.16 / $759.34	Professional		$557.16	$557.16	$759.34
United Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $441.39 / $727.46	Professional		$338.66	$441.39	$727.46