Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $46.77 / $131.83	Facility		$14.45	$46.77	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $16.98	Professional		$10.00	$12.59	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $10.23	Professional		$7.24	$8.71	$10.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $257.04	Facility		$208.93	$208.93	$257.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.05 / $26.30	Professional		$10.96	$19.05	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $32.36 / $67.61	Facility		$14.13	$32.36	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $22.39	Professional		$9.55	$14.13	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.24 / $16.60	Professional		$5.89	$7.24	$16.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $10,471.29 / $25,118.86	Facility		$14.45	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $16.22	Professional		$12.88	$13.49	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $14.45 / $30.20	Facility		$6.92	$14.45	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.71 / $21.38	Professional		$5.89	$8.71	$21.38