Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.12 / $107.15	Facility		$18.62	$25.12	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $28.84	Professional		$12.02	$16.98	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $33.88	Professional		$14.13	$28.18	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $40.74 / $85.11	Facility		$18.20	$40.74	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.05 / $26.92	Professional		$12.30	$19.05	$26.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $20.89	Professional		$7.41	$9.33	$20.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $10,471.29 / $25,118.86	Facility		$18.62	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.00 / $16.60	Professional		$9.77	$10.00	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.62 / $38.02	Facility		$8.71	$18.62	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.22 / $21.38	Professional		$7.41	$11.22	$21.38