Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $74.13 / $295.12	Facility		$36.31	$74.13	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $93.33	Professional		$38.90	$43.65	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $35.48	Professional		$27.54	$27.54	$35.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $112.20 / $234.42	Facility		$50.12	$112.20	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $74.13	Professional		$34.67	$53.70	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $51.29	Professional		$20.42	$25.70	$51.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $10,471.29 / $25,118.86	Facility		$51.29	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $57.54	Professional		$36.31	$46.77	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $51.29 / $104.71	Facility		$23.99	$51.29	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $72.44	Professional		$19.95	$30.90	$72.44