Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $36.99 / $149.85	Facility		$28.90	$36.99	$149.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $36.99 / $36.99	Professional		$17.41	$36.99	$36.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.05 / $16.72	Professional		$14.45	$16.05	$16.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $121.96 / $641.82	Facility		$33.02	$121.96	$641.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $53.41 / $110.34	Facility		$21.43	$53.41	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.76 / $26.42	Professional		$12.66	$12.76	$26.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $12.04 / $14.45	Professional		$9.63	$12.04	$14.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $1,165.00 / $13,785.00	Facility		$16.86	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $23.12 / $26.42	Professional		$22.13	$23.12	$26.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $14.45 / $27.29	Professional		$9.63	$14.45	$27.29