Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $35.49 / $144.33	Facility		$17.76	$35.49	$144.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $20.54 / $27.45	Professional		$6.49	$20.54	$27.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $19.29 / $19.29	Professional		$19.29	$19.29	$19.29
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Facility		$228.00	$228.00	$228.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $67.84 / $141.41	Facility		$21.56	$67.84	$141.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $17.80 / $35.52	Professional		$14.99	$17.80	$35.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $16.97 / $24.69	Professional		$12.34	$16.97	$24.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $6,950.00 / $13,785.00	Facility		$21.60	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $18.52 / $33.99	Professional		$11.50	$18.52	$33.99