Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $53.56 / $288.00	Facility		$20.72	$53.56	$288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $23.34 / $46.68	Professional		$19.88	$23.34	$46.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $38.50 / $63.80	Professional		$36.22	$38.50	$63.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $59.18 / $122.72	Facility		$18.71	$59.18	$122.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $20.69 / $31.26	Professional		$17.16	$20.69	$31.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $14.73 / $21.42	Professional		$10.71	$14.73	$21.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $13,785.00 / $13,785.00	Facility		$26.78	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $25.71 / $29.93	Professional		$24.61	$25.71	$29.93
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.78 / $54.97	Facility		$12.59	$26.78	$54.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $39.67	Professional		$11.25	$16.07	$39.67