Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $34.19 / $175.74	Facility		$10.35	$34.19	$175.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $27.35	Professional		$10.36	$10.36	$27.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $68.25 / $68.25	Professional		$68.25	$68.25	$68.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $75.06 / $156.66	Facility		$33.42	$75.06	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $37.51 / $49.04	Professional		$20.51	$37.51	$49.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $17.10 / $20.51	Professional		$13.68	$17.10	$20.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $8,702.00 / $13,785.00	Facility		$23.93	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $28.05 / $28.05	Professional		$28.05	$28.05	$28.05
United Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $42.74	Facility		$11.97	$11.97	$42.74
United Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $20.51 / $35.94	Professional		$13.24	$20.51	$35.94