Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $34.13 / $123.67	Facility		$13.65	$34.13	$123.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $18.05 / $45.83	Professional		$13.10	$18.05	$45.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $12.03	Professional		$12.03	$12.03	$12.03
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $27.20 / $49.30	Facility		$27.20	$27.20	$49.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $52.69 / $110.25	Facility		$16.80	$52.69	$110.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $14.42 / $34.59	Professional		$11.52	$14.42	$34.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $14.20 / $19.93	Professional		$11.07	$14.20	$19.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $24.06 / $13,785.00	Facility		$16.84	$24.06	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
United Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $13.23 / $13.23	Facility		$13.23	$13.23	$13.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $14.44 / $25.98	Professional		$8.84	$14.44	$25.98