Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $34.67 / $120.23	Facility		$18.20	$34.67	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $48.98	Professional		$12.02	$15.85	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $295.12	Facility		$17.78	$17.78	$295.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $33.11	Professional		$13.49	$13.49	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $39.81 / $83.18	Facility		$17.78	$39.81	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $27.54	Professional		$11.75	$17.78	$27.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $20.42	Professional		$7.24	$9.12	$20.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $9,549.93 / $25,118.86	Facility		$18.20	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $19.95	Professional		$15.85	$16.22	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $18.20 / $37.15	Facility		$8.51	$18.20	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.96 / $26.30	Professional		$7.24	$10.96	$26.30