Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $59.93 / $231.90	Facility		$23.97	$59.93	$231.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $27.00 / $35.63	Professional		$12.71	$27.00	$35.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Professional		$21.52	$21.52	$21.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $44.12 / $56.17	Professional		$23.24	$44.12	$56.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $68.56 / $141.96	Facility		$21.65	$68.56	$141.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $25.44 / $44.40	Professional		$19.86	$25.44	$44.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $17.04 / $19.64	Professional		$12.39	$17.04	$19.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $8,702.00 / $13,785.00	Facility		$21.69	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $21.69 / $28.48	Professional		$21.69	$21.69	$28.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $18.59 / $45.90	Professional		$12.39	$18.59	$45.90