Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $40.74 / $97.72	Facility		$12.88	$40.74	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.96 / $22.91	Professional		$8.32	$10.96	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
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 $8.51 / $12.59 / $18.62	Professional		$8.51	$12.59	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $12.88	Professional		$5.13	$6.46	$12.88
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 $5.13 / $7.76 / $18.62	Professional		$5.13	$7.76	$18.62