Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $72.31 / $310.26	Facility		$29.60	$72.31	$310.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.68 / $35.40	Professional		$20.72	$25.68	$35.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.80 / $17.76	Professional		$8.88	$14.80	$17.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $304.73 / $1,058.20	Facility		$74.09	$304.73	$1,058.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $40.85 / $64.06	Professional		$16.28	$40.85	$64.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $64.95 / $135.63	Facility		$20.69	$64.95	$135.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $29.90 / $53.70	Professional		$19.34	$29.90	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $17.46 / $29.60	Professional		$13.62	$17.46	$29.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $13,785.00	Facility		$20.72	$20.72	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
United Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $16.28 / $33.00	Facility		$16.28	$16.28	$33.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $17.76 / $42.64	Professional		$11.84	$17.76	$42.64