Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $933.25	Professional		$144.54	$223.87	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $380.19	Facility		$208.93	$208.93	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $549.54	Professional		$245.47	$398.11	$549.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $371.54 / $457.09	Facility		$128.82	$371.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $288.40	Professional		$162.18	$186.21	$288.40