Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $61.77 / $135.96	Facility		$16.78	$61.77	$135.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $19.37 / $19.67	Professional		$16.93	$19.37	$19.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $13.02 / $15.07	Professional		$13.02	$13.02	$15.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $34.90 / $39.35	Professional		$34.90	$34.90	$39.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $47.63 / $99.44	Facility		$15.16	$47.63	$99.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $17.80 / $30.98	Professional		$13.98	$17.80	$30.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $12.80 / $21.70	Professional		$9.98	$12.80	$21.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $8,702.00 / $13,785.00	Facility		$15.19	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $15.19 / $20.83	Professional		$15.19	$15.19	$20.83
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $13.02 / $32.14	Professional		$8.68	$13.02	$32.14