Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $58.11 / $194.00	Facility		$22.80	$58.11	$194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $19.71 / $48.39	Professional		$13.93	$19.71	$48.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $23.02 / $23.02 / $23.02	Professional	25	$23.02	$23.02	$23.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $15.62 / $24.99	Professional		$12.35	$15.62	$24.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $932.40 / $1,470.08	Facility		$142.05	$932.40	$1,470.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $26.49 / $46.84	Professional		$15.01	$26.49	$46.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $132.38 / $984.09	Facility		$132.38	$132.38	$984.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $23.80 / $52.95	Professional		$14.25	$23.80	$52.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.14 / $69.34	Professional		$16.78	$22.14	$69.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $20.10 / $33.78	Professional		$13.96	$20.10	$33.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $20.26 / $36.92	Professional		$15.98	$20.26	$36.92