Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $44.25 / $215.90	Facility		$9.42	$44.25	$215.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $18.10 / $34.52	Professional		$9.43	$18.10	$34.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $27.66 / $27.66	Professional		$27.66	$27.66	$27.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $33.19 / $40.47	Professional		$33.19	$33.19	$40.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $97.43 / $202.77	Facility		$30.92	$97.43	$202.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $15.01 / $50.80	Professional		$9.96	$15.01	$50.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $24.34 / $26.55	Professional		$17.70	$24.34	$26.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $13,785.00 / $13,785.00	Facility		$30.98	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $30.98 / $30.98	Professional		$20.21	$30.98	$30.98
United Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $24.34 / $24.34	Facility		$24.34	$24.34	$24.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.85 / $32.58	Professional		$15.49	$25.85	$32.58