Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $27.24 / $112.32	Facility		$13.97	$27.24	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $15.63 / $20.76	Professional		$13.40	$15.63	$20.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $12.54 / $12.54	Professional		$8.60	$12.54	$12.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.37 / $190.71 / $1,446.89	Facility		$46.37	$190.71	$1,446.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $28.80	Professional		$28.80	$28.80	$28.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $39.70 / $82.71	Facility		$17.64	$39.70	$82.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.84 / $25.81	Professional		$11.60	$14.84	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.61 / $14.44	Professional		$8.30	$10.61	$14.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $8,702.00 / $13,785.00	Facility		$12.64	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.64 / $16.39	Professional		$12.64	$12.64	$16.39
United Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Facility		$9.93	$9.93	$9.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.83 / $26.00	Professional		$7.22	$10.83	$26.00