Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $63.60 / $212.38	Facility		$19.63	$63.60	$212.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.53 / $17.80	Professional		$12.76	$17.53	$17.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $10.60 / $13.63	Professional		$9.82	$10.60	$13.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $60.06 / $568.42	Facility		$17.07	$60.06	$568.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $32.65 / $195.75	Professional		$14.72	$32.65	$195.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $43.30 / $89.95	Facility		$13.72	$43.30	$89.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $16.96 / $22.77	Professional		$12.55	$16.96	$22.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.39 / $15.70	Professional		$9.02	$11.39	$15.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $8,702.00 / $13,785.00	Facility		$13.74	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $11.78 / $22.25	Professional		$7.60	$11.78	$22.25