Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $70.79 / $234.42	Facility		$34.67	$70.79	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $41.69	Professional		$12.02	$12.88	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $213.80	Facility		$67.61	$89.13	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $16.98	Facility		$13.18	$13.18	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $10.96	Professional		$9.33	$10.96	$10.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $10,471.29 / $15,488.17	Facility		$14.13	$10,471.29	$15,488.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.80	Professional		$12.88	$12.88	$13.80