Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $196.21 / $787.92	Facility		$43.78	$196.21	$787.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $6.13 / $10.35 / $21.90	Facility	52	$6.13	$10.35	$21.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $36.36 / $57.69	Professional		$11.13	$36.36	$57.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.47 / $14.05 / $22.58	Professional	52	$5.47	$14.05	$22.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $19.20 / $30.23	Professional		$10.99	$19.20	$30.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $297.50 / $669.80	Facility		$217.50	$297.50	$669.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Professional		$39.65	$39.65	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,385.73 / $2,736.98 / $3,087.43	Facility		$2,385.73	$2,736.98	$3,087.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $39.56 / $85.34	Professional		$12.77	$39.56	$85.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $55.33 / $114.31	Professional		$41.72	$55.33	$114.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $39.56 / $75.36	Professional		$32.24	$39.56	$75.36
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $47.10 / $89.44	Professional		$34.04	$47.10	$89.44