Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $134.90	Facility		$21.88	$66.07	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $30.90	Professional		$10.96	$14.13	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $10.72	Professional		$7.24	$8.32	$10.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $186.21	Facility		$134.90	$151.36	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $79.43	Facility		$16.60	$37.15	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.79 / $26.30	Professional		$9.55	$14.79	$26.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.13 / $10.00	Professional		$5.01	$8.13	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $10,471.29 / $25,118.86	Facility		$16.98	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.85	Professional		$12.88	$12.88	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $16.98 / $35.48	Facility		$8.13	$16.98	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.23 / $19.95	Professional		$6.92	$10.23	$19.95