Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $48.44 / $237.00	Facility		$25.35	$48.44	$237.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $24.11 / $38.51	Professional		$18.93	$24.11	$38.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $33.97	Professional		$21.89	$21.89	$33.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $30.98 / $61.26	Professional		$21.89	$30.98	$61.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $1,094.79 / $6,175.50	Facility		$154.41	$1,094.79	$6,175.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $29.99 / $66.25	Professional		$20.57	$29.99	$66.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $24.11 / $42.75	Professional		$17.00	$24.11	$42.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $26.09 / $40.90	Professional		$17.10	$26.09	$40.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $25.76 / $49.79	Professional		$20.32	$25.76	$49.79