Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $65.95 / $212.97	Facility		$17.82	$65.95	$212.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.54 / $19.61	Professional		$13.80	$15.54	$19.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $10.70 / $12.38	Professional		$8.50	$10.70	$12.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $221.97 / $1,095.52	Facility		$53.75	$221.97	$1,095.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $29.47 / $32.34	Professional		$13.37	$29.47	$32.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $38.97 / $81.70	Facility		$17.43	$38.97	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $21.48 / $37.38	Professional		$11.65	$21.48	$37.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $10.52 / $14.26	Professional		$8.19	$10.52	$14.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $13,785.00 / $13,785.00	Facility		$12.48	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
United Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $9.81 / $20.00	Facility		$9.81	$9.81	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $10.70 / $20.21	Professional		$7.13	$10.70	$20.21