Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $33.10 / $135.22	Facility		$17.91	$33.10	$135.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $20.17 / $20.99	Professional		$15.37	$20.17	$20.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $16.07	Professional		$14.18	$14.18	$16.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $36.71 / $41.98	Professional		$17.73	$36.71	$41.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $51.97 / $108.33	Facility		$16.52	$51.97	$108.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $18.87 / $34.07	Professional		$14.78	$18.87	$34.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $13.95 / $18.91	Professional		$10.87	$13.95	$18.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $13,785.00 / $13,785.00	Facility		$16.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $21.27	Professional		$16.55	$16.55	$21.27
United Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Facility		$13.00	$13.00	$13.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $14.18 / $34.29	Professional		$9.46	$14.18	$34.29