Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $56.92 / $226.37	Facility		$29.19	$56.92	$226.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $33.95 / $34.21	Professional		$28.30	$33.95	$34.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $22.64 / $26.20	Professional		$17.98	$22.64	$26.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $394.41 / $1,350.66	Facility		$96.67	$394.41	$1,350.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $28.30 / $89.90	Professional		$17.50	$28.30	$89.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $83.00 / $172.89	Facility		$26.37	$83.00	$172.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $30.96 / $54.21	Professional		$24.15	$30.96	$54.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $20.75 / $23.40	Professional		$16.14	$20.75	$23.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $13,785.00 / $13,785.00	Facility		$26.41	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $26.41 / $34.67	Professional		$26.41	$26.41	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $37.72 / $77.44	Facility		$17.73	$37.72	$77.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.64 / $40.75	Professional		$15.85	$22.64	$40.75