Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $51.80 / $160.76	Facility		$20.72	$51.80	$160.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $23.92 / $30.81	Professional		$19.89	$23.92	$30.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $43.56 / $48.57	Professional		$20.09	$43.56	$48.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $59.18 / $122.76	Facility		$18.72	$59.18	$122.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $21.84 / $38.72	Professional		$17.16	$21.84	$38.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $15.81 / $26.79	Professional		$12.32	$15.81	$26.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $6,950.00 / $13,785.00	Facility		$18.75	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $24.62	Professional		$18.75	$18.75	$24.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $37.40	Professional		$11.25	$16.07	$37.40