Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $48.98 / $177.83	Facility		$25.70	$48.98	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $81.28	Professional		$19.05	$22.91	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $45.71	Professional		$19.05	$38.90	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $56.23 / $117.49	Facility		$25.12	$56.23	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $36.31	Professional		$16.60	$24.55	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $28.84	Professional		$10.23	$14.13	$28.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $9,332.54 / $25,118.86	Facility		$25.70	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $28.18	Professional		$22.39	$23.44	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $52.48	Facility		$12.02	$25.70	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $37.15	Professional		$10.23	$15.14	$37.15