Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $245.47	Facility		$32.36	$48.98	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $138.04	Professional		$22.91	$35.48	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $21.88	Professional		$14.79	$18.62	$21.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $234.42	Facility		$95.50	$134.90	$234.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $28.84	Professional		$9.77	$9.77	$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 $33.11 / $47.86 / $81.28	Professional		$33.11	$47.86	$81.28
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 / $9,549.93 / $25,118.86	Facility		$35.48	$9,549.93	$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 $16.22 / $23.99 / $48.98	Professional		$16.22	$23.99	$48.98