Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $72.90 / $227.22	Facility		$19.54	$72.90	$227.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $22.01 / $26.65	Professional		$16.41	$22.01	$26.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $17.54	Professional		$17.54	$17.54	$17.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $40.77 / $45.79	Professional		$18.94	$40.77	$45.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $55.57 / $115.70	Facility		$17.64	$55.57	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $20.78 / $36.14	Professional		$16.21	$20.78	$36.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $14.90 / $20.20	Professional		$11.62	$14.90	$20.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $13,785.00 / $13,785.00	Facility		$17.68	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $17.68 / $23.21	Professional		$17.68	$17.68	$23.21
United Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $13.89 / $28.00	Facility		$13.89	$13.89	$28.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $15.15 / $35.28	Professional		$10.10	$15.15	$35.28