Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $602.56	Facility		$117.49	$158.49	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $346.74	Professional		$70.79	$100.00	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $47.86	Professional		$40.74	$46.77	$47.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,122.02	Facility		$588.84	$588.84	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $436.52	Facility		$109.65	$213.80	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $218.78	Professional		$87.10	$125.89	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $181.97	Professional		$67.61	$100.00	$181.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $10,232.93 / $25,118.86	Facility		$95.50	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $95.50 / $194.98	Facility		$44.67	$95.50	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $120.23	Professional		$39.81	$57.54	$120.23