Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $53.26 / $203.61	Facility		$26.26	$53.26	$203.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $33.47 / $40.60	Professional		$26.27	$33.47	$40.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $28.94	Professional		$27.79	$27.79	$28.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $61.56	Professional		$34.72	$34.72	$61.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $101.77 / $212.21	Facility		$32.36	$101.77	$212.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $26.24 / $53.28	Professional		$22.17	$26.24	$53.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $25.47 / $37.04	Professional		$18.52	$25.47	$37.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $13,785.00 / $13,785.00	Facility		$32.42	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $32.42 / $32.42	Professional		$32.42	$32.42	$32.42
United Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $25.47	Facility		$25.47	$25.47	$25.47
United Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $27.79 / $50.01	Professional		$16.21	$27.79	$50.01