Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $144.54 / $173.78	Facility		$33.88	$144.54	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $158.49	Professional		$22.39	$30.20	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $30.90	Professional		$24.55	$28.84	$30.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $79.43 / $120.23	Facility		$27.54	$79.43	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $28.84	Professional		$9.77	$14.13	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $10,471.29 / $25,703.96	Facility		$41.69	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.78	Professional		$13.49	$13.49	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $37.15 / $79.43	Facility		$17.38	$37.15	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $36.31	Professional		$11.75	$21.38	$36.31