Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $38.02 / $107.15	Facility		$14.13	$38.02	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $83.18	Professional		$8.91	$12.02	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $25.12	Professional		$10.00	$21.88	$25.12
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 / $11.48 / $19.05	Professional		$8.71	$11.48	$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 / $10,715.19 / $25,118.86	Facility		$13.18	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $14.79	Professional		$7.94	$12.02	$14.79
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 / $19.50	Professional		$5.25	$7.94	$19.50