Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $67.61 / $186.21	Facility		$29.51	$67.61	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $52.48	Professional		$21.88	$26.30	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $48.98 / $53.70	Professional		$21.88	$48.98	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $134.90	Facility		$28.84	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $42.66	Professional		$19.05	$28.18	$42.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $33.11	Professional		$11.75	$14.79	$33.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $10,471.29 / $25,118.86	Facility		$29.51	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.92 / $32.36	Professional		$25.70	$26.92	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $60.26	Facility		$13.80	$29.51	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.38 / $42.66	Professional		$11.75	$17.38	$42.66