Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $64.57 / $204.17	Facility		$19.05	$64.57	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $63.10	Professional		$12.88	$15.85	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $12.30	Professional		$10.96	$10.96	$12.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.51 / $32.36	Professional		$13.49	$29.51	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.90 / $81.28	Facility		$20.42	$38.90	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $25.12 / $37.15	Professional		$11.75	$25.12	$37.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $19.95	Professional		$7.08	$8.91	$19.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $10,471.29 / $25,118.86	Facility		$17.78	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $17.78 / $36.31	Facility		$8.32	$17.78	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.72 / $20.42	Professional		$7.08	$10.72	$20.42