Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.88 / $104.71	Facility		$14.79	$33.88	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $28.84	Professional		$9.55	$13.18	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.99 / $26.92	Professional		$10.96	$23.99	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $32.36 / $67.61	Facility		$14.45	$32.36	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $22.91	Professional		$9.55	$14.45	$22.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $16.60	Professional		$5.89	$7.41	$16.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $9,549.93 / $25,118.86	Facility		$14.79	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $16.60	Professional		$12.88	$13.49	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $14.79 / $30.90	Facility		$6.92	$14.79	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.91 / $21.38	Professional		$5.89	$8.91	$21.38