Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $37.15 / $169.82	Facility		$13.49	$37.15	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $100.00	Professional		$8.91	$12.02	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.32 / $9.33	Professional		$6.76	$8.32	$9.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $25.70	Professional		$21.88	$22.39	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $29.51 / $61.66	Facility		$13.18	$29.51	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.18 / $20.42	Professional		$8.91	$13.18	$20.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.76 / $15.14	Professional		$5.37	$6.76	$15.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $10,715.19 / $25,703.96	Facility		$13.49	$10,715.19	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.02	Professional		$8.91	$8.91	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.49 / $27.54	Facility		$6.31	$13.49	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.13 / $14.79	Professional		$5.37	$8.13	$14.79