Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $45.71 / $177.83	Facility		$12.88	$45.71	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $27.54	Professional		$10.00	$11.48	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.13 / $12.88	Professional		$7.41	$8.13	$12.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.42 / $23.44	Professional		$9.55	$20.42	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $58.88	Facility		$12.59	$28.18	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.79 / $19.50	Professional		$8.32	$14.79	$19.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $14.45	Professional		$5.13	$6.46	$14.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $10,471.29 / $25,118.86	Facility		$12.88	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.75 / $14.45	Professional		$11.22	$11.75	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.88 / $26.92	Facility		$6.03	$12.88	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.91 / $18.20	Professional		$5.75	$8.91	$18.20