Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $39.32 / $142.99	Facility		$24.42	$39.32	$142.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $28.18 / $33.29	Professional		$24.42	$28.18	$33.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $21.91	Professional		$20.51	$20.51	$21.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $49.16 / $57.22	Professional		$49.16	$49.16	$57.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $75.06 / $156.66	Facility		$23.89	$75.06	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $30.62 / $49.04	Professional		$20.63	$30.62	$49.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $18.80 / $27.35	Professional		$13.68	$18.80	$27.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $13,785.00 / $13,785.00	Facility		$23.93	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $29.00	Professional		$23.93	$23.93	$29.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $20.51 / $36.93	Professional		$13.68	$20.51	$36.93