Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $208.93	Facility		$29.51	$45.71	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $53.70	Professional		$22.39	$28.18	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $21.88	Professional		$14.79	$17.38	$21.88
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 $25.70 / $40.74 / $81.28	Professional		$25.70	$40.74	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $66.07	Professional		$20.89	$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