Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $97.19 / $368.43	Facility		$49.84	$97.19	$368.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $53.02 / $75.23	Professional		$46.71	$53.02	$75.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $44.73 / $44.73	Professional		$30.69	$44.73	$44.73
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $103.76 / $116.81	Professional		$48.31	$103.76	$116.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $142.18 / $295.14	Facility		$45.01	$142.18	$295.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $49.80 / $75.09	Professional		$41.31	$49.80	$75.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $38.00 / $64.41	Professional		$29.63	$38.00	$64.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $8,702.00 / $13,785.00	Facility		$45.09	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $45.09 / $61.85	Professional		$45.09	$45.09	$61.85
United Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $35.43 / $72.00	Facility		$35.43	$35.43	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $73.00	Professional		$27.05	$38.65	$73.00