Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $48.57 / $233.51	Facility		$16.98	$48.57	$233.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.57 / $26.27	Professional		$16.30	$19.57	$26.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $16.47 / $16.47	Professional		$16.47	$16.47	$16.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $48.36 / $100.63	Facility		$15.34	$48.36	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $18.02 / $31.49	Professional		$14.14	$18.02	$31.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $12.08 / $17.57	Professional		$8.77	$12.08	$17.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $8,702.00 / $13,785.00	Facility		$15.37	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $15.37 / $20.19	Professional		$15.37	$15.37	$20.19
United Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $24.00	Facility		$12.08	$12.08	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $13.18 / $30.68	Professional		$8.50	$13.18	$30.68