Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.37 / $4,294.00 / $10,871.00	Facility		$49.37	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $47.65 / $68.95	Professional		$19.68	$47.65	$68.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $20.54 / $20.54	Professional		$20.54	$20.54	$20.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $22.73 / $320.00	Professional		$11.37	$22.73	$320.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $48.19 / $113.58	Professional		$15.80	$48.19	$113.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $22.45 / $51.38	Professional		$21.47	$22.45	$51.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.25 / $313.39 / $679.56	Facility		$261.25	$313.39	$679.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $30.36 / $79.48	Professional		$23.49	$30.36	$79.48
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 $15.99 / $44.02 / $80.64	Professional		$15.99	$44.02	$80.64