Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $4,049.00 / $9,784.00	Facility		$22.79	$4,049.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $53.09 / $199.20	Professional		$22.98	$53.09	$199.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $65.56 / $65.56	Professional		$65.56	$65.56	$65.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $68.55 / $230.07	Professional		$51.92	$68.55	$230.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $55.10 / $123.89	Professional		$23.59	$55.10	$123.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.58 / $95.18	Professional		$61.66	$83.58	$95.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $55.14 / $98.69	Professional		$26.89	$55.14	$98.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $60.39 / $124.90	Professional		$36.43	$60.39	$124.90