Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $47.86 / $117.49	Facility		$13.49	$47.86	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $18.62	Professional		$10.00	$12.02	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.33 / $9.33	Professional		$8.32	$9.33	$9.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $24.55	Professional		$10.00	$21.88	$24.55
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 $8.71 / $13.18 / $19.50	Professional		$8.71	$13.18	$19.50
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 / $10,471.29 / $25,118.86	Facility		$13.49	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $15.14	Professional		$8.13	$12.30	$15.14
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 / $19.50	Professional		$5.37	$8.13	$19.50