Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $98.38 / $400.39	Facility		$50.86	$98.38	$400.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $45.42 / $46.10	Professional		$37.75	$45.42	$46.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $35.32	Professional		$30.52	$30.52	$35.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $121.61 / $442.94 / $9,529.39	Facility		$121.61	$442.94	$9,529.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $75.45 / $92.22	Professional		$38.15	$75.45	$92.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $111.87 / $233.06	Facility		$35.54	$111.87	$233.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $41.56 / $72.79	Professional		$32.57	$41.56	$72.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $27.97 / $40.69	Professional		$20.34	$27.97	$40.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $13,785.00 / $13,785.00	Facility		$35.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $35.60 / $48.83	Professional		$35.60	$35.60	$48.83
United Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $27.97 / $57.00	Facility		$27.97	$27.97	$57.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $30.52 / $75.34	Professional		$20.34	$30.52	$75.34