Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $74.48 / $298.00	Facility		$29.79	$74.48	$298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $33.47 / $34.82	Professional		$28.58	$33.47	$34.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $26.74	Professional		$23.10	$23.10	$26.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $261.80 / $261.80	Facility		$261.80	$261.80	$261.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $64.08 / $69.83	Professional		$28.88	$64.08	$69.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $85.17 / $176.42	Facility		$26.90	$85.17	$176.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $31.59 / $55.24	Professional		$24.78	$31.59	$55.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $21.18 / $30.80	Professional		$15.40	$21.18	$30.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $13,785.00 / $13,785.00	Facility		$26.95	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $26.95 / $35.38	Professional		$26.95	$26.95	$35.38
United Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $23.10 / $50.40	Professional		$14.91	$23.10	$50.40