Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $39.15 / $119.83	Facility		$15.66	$39.15	$119.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $17.64 / $18.36	Professional		$14.97	$17.64	$18.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.06 / $14.06	Professional		$12.14	$14.06	$14.06
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $31.44 / $36.71	Professional		$15.18	$31.44	$36.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $44.75 / $92.75	Facility		$14.14	$44.75	$92.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $16.54 / $29.43	Professional		$13.03	$16.54	$29.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $11.13 / $13.15	Professional		$8.10	$11.13	$13.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $8,702.00 / $13,785.00	Facility		$14.17	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $14.17 / $19.43	Professional		$14.17	$14.17	$19.43
United Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $11.13 / $11.13	Facility		$11.13	$11.13	$11.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $12.14 / $29.98	Professional		$8.10	$12.14	$29.98