Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $59.58 / $175.80	Facility		$17.30	$59.58	$175.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $12.48 / $34.61	Professional		$11.23	$12.48	$34.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $10.79	Professional		$9.33	$9.33	$10.79
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $172.80 / $1,615.30	Facility		$33.26	$172.80	$1,615.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $21.62 / $130.50	Professional		$12.95	$21.62	$130.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $38.25 / $79.14	Facility		$12.07	$38.25	$79.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $12.93 / $24.78	Professional		$8.46	$12.93	$24.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.50 / $13.82	Professional		$6.91	$9.50	$13.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $8,702.00 / $13,785.00	Facility		$12.09	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
United Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $15.54 / $20.72	Facility		$9.50	$15.54	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $10.36 / $19.18	Professional		$6.69	$10.36	$19.18