Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $55.19 / $198.45	Facility		$28.30	$55.19	$198.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $31.65 / $38.60	Professional		$27.15	$31.65	$38.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $25.39 / $25.39	Professional		$25.39	$25.39	$25.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $61.05 / $66.31	Professional		$27.43	$61.05	$66.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $80.83 / $167.58	Facility		$25.55	$80.83	$167.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $29.90 / $52.66	Professional		$23.51	$29.90	$52.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $20.11 / $29.26	Professional		$14.63	$20.11	$29.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $13,785.00 / $13,785.00	Facility		$25.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $33.21	Professional		$25.60	$25.60	$33.21
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $51.09	Professional		$15.36	$21.94	$51.09