Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $61.66 / $263.03	Facility		$22.39	$61.66	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $38.90	Professional		$14.45	$16.98	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.23 / $13.49	Professional		$9.77	$10.23	$13.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $234.42 / $426.58	Facility		$87.10	$234.42	$426.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $41.69	Professional		$14.45	$32.36	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $42.66 / $89.13	Facility		$19.05	$42.66	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $28.18	Professional		$12.59	$18.62	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $21.88	Professional		$7.76	$9.77	$21.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $10,471.29 / $25,118.86	Facility		$19.50	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $21.88	Professional		$11.75	$17.78	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $19.50 / $40.74	Facility		$9.12	$19.50	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.75 / $28.18	Professional		$7.59	$11.75	$28.18