Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $48.90 / $153.41	Facility		$19.55	$48.90	$153.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $22.47 / $22.91	Professional		$19.55	$22.47	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $17.55 / $19.37	Professional		$15.16	$17.55	$19.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $40.53 / $45.83	Professional		$18.95	$40.53	$45.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $55.57 / $115.80	Facility		$17.66	$55.57	$115.80
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 / $14.91 / $24.06	Professional		$11.62	$14.91	$24.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $8,702.00 / $13,785.00	Facility		$17.69	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $23.23	Professional		$17.69	$17.69	$23.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $15.16 / $35.31	Professional		$10.11	$15.16	$35.31