Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $38.90 / $144.54	Facility		$13.80	$38.90	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $15.85	Professional		$10.00	$12.30	$15.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $30.20 / $63.10	Facility		$13.49	$30.20	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $20.42	Professional		$8.91	$13.49	$20.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.92 / $13.80	Professional		$5.50	$6.92	$13.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $10,471.29 / $25,118.86	Facility		$13.80	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $15.49	Professional		$12.02	$12.59	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $13.80 / $28.18	Facility		$6.46	$13.80	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.32 / $19.95	Professional		$5.37	$8.32	$19.95