Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $125.89	Facility		$26.30	$38.90	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $33.11	Professional		$12.88	$16.98	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $44.67 / $93.33	Facility		$19.50	$44.67	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $28.84	Professional		$12.02	$18.62	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $20.89	Professional		$8.13	$10.00	$20.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $10,715.19 / $25,118.86	Facility		$19.95	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.98 / $19.95	Professional		$16.22	$16.98	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $19.95 / $41.69	Facility		$9.55	$19.95	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.02 / $25.12	Professional		$8.13	$12.02	$25.12