Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $398.11	Facility		$72.44	$95.50	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $83.18	Professional		$42.66	$53.70	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $44.67	Professional		$43.65	$44.67	$44.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $151.36	Professional		$141.25	$141.25	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $158.49 / $331.13	Facility		$70.79	$158.49	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $104.71	Professional		$38.02	$52.48	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $58.88	Professional		$28.84	$36.31	$58.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $10,471.29 / $25,118.86	Facility		$72.44	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $63.10	Professional		$46.77	$53.70	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $72.44 / $147.91	Facility		$33.88	$72.44	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $74.13	Professional		$28.84	$43.65	$74.13