Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $144.54	Facility		$30.90	$40.74	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $44.67	Professional		$12.88	$19.95	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $48.98	Facility		$26.92	$26.92	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $52.48 / $109.65	Facility		$23.44	$52.48	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $34.67	Professional		$11.75	$16.98	$34.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $21.88	Professional		$9.55	$12.02	$21.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $10,471.29 / $25,118.86	Facility		$23.99	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $21.38	Professional		$14.45	$19.50	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $23.99 / $48.98	Facility		$11.22	$23.99	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $25.70	Professional		$9.55	$14.45	$25.70