Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $58.14 / $206.00	Facility		$21.00	$58.14	$206.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.77 / $23.17	Professional		$14.33	$16.77	$23.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $11.63 / $14.85	Professional		$5.81	$11.63	$14.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $204.96 / $1,928.30	Facility		$49.83	$204.96	$1,928.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $32.36 / $42.00	Professional		$14.54	$32.36	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $42.58 / $88.81	Facility		$13.55	$42.58	$88.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $15.90 / $27.88	Professional		$12.39	$15.90	$27.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.43 / $19.38	Professional		$8.91	$11.43	$19.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $8,702.00 / $13,785.00	Facility		$13.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $17.80	Professional		$13.57	$13.57	$17.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.63 / $21.96	Professional		$7.50	$11.63	$21.96