Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $38.45 / $152.88	Facility		$19.71	$38.45	$152.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $22.20 / $30.47	Professional		$18.92	$22.20	$30.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $12.74	Professional		$12.74	$12.74	$12.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $39.15 / $46.20	Professional		$19.11	$39.15	$46.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $56.30 / $116.76	Facility		$17.80	$56.30	$116.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $20.78 / $36.65	Professional		$16.36	$20.78	$36.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $15.03 / $25.48	Professional		$11.72	$15.03	$25.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $13,785.00 / $13,785.00	Facility		$17.84	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $23.42	Professional		$17.84	$17.84	$23.42
United Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $14.01 / $28.00	Facility		$14.01	$14.01	$28.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.29 / $35.60	Professional		$10.70	$15.29	$35.60