Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $83.35 / $227.16	Facility		$29.35	$83.35	$227.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $25.57 / $30.98	Professional		$22.71	$25.57	$30.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $17.61 / $20.38	Professional		$13.98	$17.61	$20.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $98.08 / $359.64	Facility		$42.96	$98.08	$359.64
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $48.80 / $69.95	Professional		$22.01	$48.80	$69.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $64.95 / $134.49	Facility		$28.69	$64.95	$134.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $32.20 / $61.11	Professional		$19.17	$32.20	$61.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $17.32 / $29.35	Professional		$13.50	$17.32	$29.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $13,785.00 / $13,785.00	Facility		$20.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $20.55 / $20.55	Professional		$20.55	$20.55	$20.55
United Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $16.14 / $33.00	Facility		$16.14	$16.14	$33.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.61 / $41.00	Professional		$12.33	$17.61	$41.00