Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.64 / $3,297.00 / $8,419.00	Facility		$34.64	$3,297.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $75.18 / $155.27	Professional		$36.04	$75.18	$155.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $84.64 / $115.61	Professional		$84.64	$84.64	$115.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $157.91 / $320.91	Professional		$115.13	$157.91	$320.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $102.51 / $255.60	Professional		$40.29	$102.51	$255.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $161.75 / $213.61	Professional		$119.32	$161.75	$213.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $313.39 / $636.45	Facility		$252.90	$313.39	$636.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $97.93 / $170.90	Professional		$35.17	$97.93	$170.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $105.74 / $232.82	Professional		$62.93	$105.74	$232.82