Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $61.66 / $199.53	Facility		$33.88	$61.66	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $61.66	Professional		$21.88	$28.84	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Professional		$48.98	$48.98	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $75.86 / $154.88	Facility		$33.11	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $48.98	Professional		$23.99	$30.90	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $35.48	Professional		$13.80	$16.98	$35.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $10,471.29 / $25,118.86	Facility		$33.88	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $35.48	Professional		$23.99	$28.84	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.88 / $70.79	Facility		$16.22	$33.88	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $45.71	Professional		$13.80	$20.42	$45.71