Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $50.31 / $56.89	Facility		$43.24	$50.31	$56.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $57.84 / $105.99	Professional		$40.15	$57.84	$105.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $110.87 / $110.87	Professional		$110.87	$110.87	$110.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $107.49 / $140.00	Professional		$107.49	$107.49	$140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $86.64 / $147.82	Facility		$74.72	$86.64	$147.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $141.88	Professional		$63.25	$63.25	$141.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $135.99 / $193.64	Professional		$135.03	$135.99	$193.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $147.82 / $147.82	Professional		$144.36	$147.82	$147.82
United Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $73.75 / $135.69	Professional		$56.47	$73.75	$135.69