Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $42.66 / $117.49	Facility		$13.18	$42.66	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $15.14	Professional		$7.08	$10.00	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $8.13	Professional		$7.94	$7.94	$8.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $56.23	Professional		$25.12	$25.12	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.84 / $60.26	Facility		$12.88	$28.84	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $19.05	Professional		$8.71	$10.72	$19.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.61 / $15.14	Professional		$5.25	$6.61	$15.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $10,471.29 / $25,118.86	Facility		$13.18	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.30 / $14.45	Professional		$11.75	$12.30	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $13.18 / $26.92	Facility		$6.17	$13.18	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $18.62	Professional		$5.25	$7.94	$18.62