Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $114.74 / $195.54	Facility		$38.19	$114.74	$195.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $144.77 / $195.96	Professional		$114.74	$144.77	$195.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.23 / $388.23 / $495.00	Professional		$388.23	$388.23	$495.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $279.00 / $326.25	Professional		$272.95	$279.00	$326.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $323.62	Facility		$214.16	$214.16	$323.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $291.73	Professional		$156.34	$156.34	$291.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $297.73 / $423.94	Professional		$295.64	$297.73	$423.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.04 / $323.62 / $323.62	Professional		$316.04	$323.62	$323.62
United Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $154.24 / $323.62	Facility		$122.08	$154.24	$323.62
United Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $171.94 / $323.62	Professional		$151.97	$171.94	$323.62