Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $208.93	Facility		$28.18	$56.23	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $33.11	Professional		$18.20	$25.12	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $19.50	Professional		$16.98	$16.98	$19.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $43.65 / $51.29	Professional		$20.89	$43.65	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $61.66 / $128.82	Facility		$27.54	$61.66	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $39.81	Professional		$18.20	$27.54	$39.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $28.18	Professional		$11.22	$14.13	$28.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $10,471.29 / $25,118.86	Facility		$28.18	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $31.62	Professional		$16.98	$25.70	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $57.54	Facility		$13.18	$28.18	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.98 / $40.74	Professional		$11.22	$16.98	$40.74