Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $45.71 / $208.93	Facility		$21.88	$45.71	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.91 / $41.69	Professional		$10.96	$22.91	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.72 / $10.72	Professional		$10.47	$10.72	$10.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.38 / $83.18	Professional		$12.88	$21.38	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.02 / $38.02	Facility		$16.98	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.95 / $26.30	Professional		$9.12	$19.95	$26.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $10.47	Professional		$6.92	$8.71	$10.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $10,471.29 / $25,703.96	Facility		$17.38	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $15.14	Professional		$11.22	$11.22	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $17.38 / $35.48	Facility		$8.13	$17.38	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.47 / $17.78	Professional		$6.92	$10.47	$17.78