Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $38.02 / $114.82	Facility		$13.18	$38.02	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $77.62	Professional		$8.91	$11.48	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $8.71	Professional		$7.59	$7.59	$8.71
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $20.42 / $22.91	Professional		$9.33	$20.42	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $27.54 / $57.54	Facility		$12.30	$27.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.02 / $19.05	Professional		$8.13	$12.02	$19.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.31 / $14.13	Professional		$5.01	$6.31	$14.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $10,471.29 / $25,118.86	Facility		$12.59	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.48 / $14.13	Professional		$10.96	$11.48	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $12.59 / $26.30	Facility		$5.89	$12.59	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $18.20	Professional		$5.01	$7.59	$18.20