Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $56.68 / $214.91	Facility		$21.23	$56.68	$214.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $18.47 / $19.22	Professional		$15.76	$18.47	$19.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $14.74	Professional		$12.74	$12.74	$14.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $191.72 / $1,246.70	Facility		$51.68	$191.72	$1,246.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.92 / $38.51	Professional		$10.73	$15.92	$38.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $46.91 / $97.28	Facility		$14.83	$46.91	$97.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $17.39 / $30.46	Professional		$13.66	$17.39	$30.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.53 / $16.98	Professional		$9.77	$12.53	$16.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $13,785.00 / $13,785.00	Facility		$14.86	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $19.51	Professional		$14.86	$14.86	$19.51
United Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $19.11 / $25.48	Facility		$19.11	$19.11	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.74 / $24.06	Professional		$8.92	$12.74	$24.06