Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $3,057.00 / $9,284.00	Facility		$134.47	$3,057.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $192.68 / $490.93	Professional		$150.93	$192.68	$490.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $105.75 / $105.75	Professional		$105.75	$105.75	$105.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $128.38 / $128.38	Professional		$128.38	$128.38	$128.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $232.23 / $454.08	Professional		$116.45	$232.23	$454.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.98 / $322.58 / $364.17	Professional		$237.98	$322.58	$364.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.82 / $3,793.84 / $8,541.95	Facility		$3,283.82	$3,793.84	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $243.18 / $350.68	Professional		$167.29	$243.18	$350.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $222.68 / $433.64	Professional		$128.80	$222.68	$433.64