Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $57.13 / $168.91	Facility		$22.85	$57.13	$168.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $26.32 / $26.78	Professional		$22.15	$26.32	$26.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $22.15 / $53.56	Professional		$22.15	$22.15	$53.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $64.95 / $135.32	Facility		$20.64	$64.95	$135.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $24.17 / $42.33	Professional		$18.91	$24.17	$42.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $16.23 / $23.62	Professional		$11.81	$16.23	$23.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $13,785.00 / $13,785.00	Facility		$20.67	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $20.67 / $20.67	Professional		$20.67	$20.67	$20.67
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.72 / $41.26	Professional		$12.40	$17.72	$41.26