Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $67.61 / $218.78	Facility		$44.67	$67.61	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $57.54	Professional		$22.91	$32.36	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $22.91	Professional		$17.38	$19.50	$22.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $77.62 / $162.18	Facility		$40.74	$77.62	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $89.13	Professional		$23.44	$40.74	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $66.07	Professional		$24.55	$39.81	$66.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $10,471.29 / $25,118.86	Facility		$35.48	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $35.48	Professional		$27.54	$27.54	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.48 / $72.44	Facility		$16.60	$35.48	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.89 / $51.29	Professional		$14.45	$20.89	$51.29