Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $36.31 / $158.49	Facility		$16.22	$36.31	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $19.05	Professional		$10.47	$12.88	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.51 / $9.77	Professional		$6.92	$8.51	$9.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $147.91 / $281.84	Facility		$32.36	$147.91	$281.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.91 / $25.70	Professional		$10.72	$22.91	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $30.90 / $64.57	Facility		$13.80	$30.90	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.80 / $20.42	Professional		$9.33	$13.80	$20.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.61 / $15.85	Professional		$5.62	$6.61	$15.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $10,471.29 / $25,118.86	Facility		$14.13	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.88 / $15.85	Professional		$12.59	$12.88	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $14.13 / $28.84	Facility		$6.61	$14.13	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.51 / $20.89	Professional		$5.62	$8.51	$20.89