Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $49.31 / $193.68	Facility		$26.20	$49.31	$193.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $30.25 / $30.71	Professional		$26.20	$30.25	$30.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $23.51	Professional		$20.32	$20.32	$23.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $54.62 / $64.59	Professional		$54.62	$54.62	$64.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $74.34 / $155.16	Facility		$23.66	$74.34	$155.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $27.78 / $49.04	Professional		$21.77	$27.78	$49.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $18.62 / $27.09	Professional		$13.54	$18.62	$27.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $13,785.00 / $13,785.00	Facility		$23.70	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $23.70 / $35.47	Professional		$23.70	$23.70	$35.47
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $38.00	Facility		$18.62	$18.62	$38.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $38.36	Professional		$14.22	$20.32	$38.36