Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $53.70 / $128.82	Facility		$20.89	$53.70	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $14.45	Professional		$12.59	$12.59	$14.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $32.36 / $37.15	Professional		$15.49	$32.36	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $45.71 / $95.50	Facility		$20.42	$45.71	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.95 / $30.20	Professional		$13.49	$19.95	$30.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $23.44	Professional		$8.32	$10.23	$23.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $10,232.93 / $25,118.86	Facility		$20.89	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $22.91	Professional		$12.30	$18.62	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.89 / $42.66	Facility		$9.77	$20.89	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.30 / $30.20	Professional		$8.32	$12.30	$30.20