Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $42.05 / $163.00	Facility		$21.70	$42.05	$163.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.41 / $23.90	Professional		$15.21	$19.41	$23.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $13.04 / $15.09	Professional		$10.36	$13.04	$15.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $155.66 / $711.42	Facility		$41.96	$155.66	$711.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $34.57 / $48.00	Professional		$16.30	$34.57	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $47.63 / $99.57	Facility		$15.19	$47.63	$99.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $17.80 / $30.98	Professional		$13.98	$17.80	$30.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.95 / $17.38	Professional		$8.69	$11.95	$17.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $13,785.00 / $13,785.00	Facility		$15.21	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $15.21 / $20.87	Professional		$15.21	$15.21	$20.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $13.04 / $24.63	Professional		$7.61	$13.04	$24.63