Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $70.18 / $180.36	Facility		$18.60	$70.18	$180.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $29.84 / $40.35	Professional		$18.60	$29.84	$40.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $29.12 / $29.12	Professional		$29.12	$29.12	$29.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $77.23 / $160.79	Facility		$34.29	$77.23	$160.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $40.96 / $75.14	Professional		$20.87	$40.96	$75.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $36.84 / $50.88	Professional		$24.56	$36.84	$50.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $7,628.00 / $8,702.00	Facility		$6,950.00	$7,628.00	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $21.05 / $37.90	Professional		$14.04	$21.05	$37.90