Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $36.27 / $135.34	Facility		$18.71	$36.27	$135.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $21.61 / $26.60	Professional		$17.95	$21.61	$26.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $16.79 / $16.79	Professional		$16.79	$16.79	$16.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $39.28 / $43.85	Professional		$18.14	$39.28	$43.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $53.41 / $110.80	Facility		$16.89	$53.41	$110.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $19.72 / $35.11	Professional		$15.57	$19.72	$35.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.27 / $19.34	Professional		$11.12	$14.27	$19.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $13,785.00 / $13,785.00	Facility		$16.93	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $22.22	Professional		$16.93	$16.93	$22.22
United Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $24.18 / $49.63	Facility		$11.36	$24.18	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.51 / $33.79	Professional		$10.16	$14.51	$33.79