Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $49.38 / $157.63	Facility		$19.75	$49.38	$157.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $22.24 / $23.15	Professional		$18.96	$22.24	$23.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $40.33 / $46.30	Professional		$19.14	$40.33	$46.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $56.30 / $116.99	Facility		$17.84	$56.30	$116.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $20.99 / $36.65	Professional		$16.36	$20.99	$36.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.04 / $20.42	Professional		$10.21	$14.04	$20.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $13,785.00 / $13,785.00	Facility		$17.87	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $17.87 / $23.46	Professional		$17.87	$17.87	$23.46
United Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $14.04 / $28.00	Facility		$14.04	$14.04	$28.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.32 / $37.82	Professional		$10.72	$15.32	$37.82