Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $42.83 / $167.48	Facility		$17.23	$42.83	$167.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $25.51 / $26.55	Professional		$17.73	$25.51	$26.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $53.01 / $104.78	Professional		$21.96	$53.01	$104.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $64.23 / $134.16	Facility		$20.46	$64.23	$134.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $23.76 / $42.33	Professional		$15.34	$23.76	$42.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $16.10 / $23.42	Professional		$11.71	$16.10	$23.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $21.80 / $22.77	Professional		$21.80	$21.80	$22.77
United Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $16.10 / $16.10	Facility		$16.10	$16.10	$16.10
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $17.57 / $33.34	Professional		$11.39	$17.57	$33.34