Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $56.63 / $175.69	Facility		$29.14	$56.63	$175.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $26.35 / $26.55	Professional		$22.65	$26.35	$26.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $20.32 / $20.32	Professional		$17.57	$20.32	$20.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $48.42 / $53.10	Professional		$21.96	$48.42	$53.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $64.23 / $134.16	Facility		$20.46	$64.23	$134.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $23.96 / $42.33	Professional		$18.75	$23.96	$42.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $17.28 / $29.28	Professional		$13.47	$17.28	$29.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $8,702.00 / $13,785.00	Facility		$20.50	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $20.50 / $26.91	Professional		$20.50	$20.50	$26.91
United Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $16.10 / $16.10	Facility		$16.10	$16.10	$16.10
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $43.37	Professional		$12.30	$17.57	$43.37