Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $47.48 / $169.58	Facility		$20.44	$47.48	$169.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $23.14 / $32.78	Professional		$16.05	$23.14	$32.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $26.12 / $26.12	Professional		$26.12	$26.12	$26.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $85.17 / $176.74	Facility		$37.71	$85.17	$176.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $21.60 / $55.24	Professional		$18.51	$21.60	$55.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.29 / $23.14	Professional		$10.61	$19.29	$23.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $25.07 / $30.86	Professional		$25.07	$25.07	$30.86
United Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $13.50 / $26.50	Facility		$9.40	$13.50	$26.50
United Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $23.14 / $39.53	Professional		$13.50	$23.14	$39.53