Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $190.55	Facility		$20.89	$41.69	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $37.15	Professional		$15.14	$19.05	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $14.45	Professional		$10.96	$12.59	$14.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $38.02	Professional		$15.49	$33.11	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $45.71 / $95.50	Facility		$20.42	$45.71	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $30.20	Professional		$13.49	$20.42	$30.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $23.44	Professional		$8.32	$10.47	$23.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $9,772.37 / $25,118.86	Facility		$20.89	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $23.44	Professional		$18.20	$19.05	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.89 / $42.66	Facility		$9.77	$20.89	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $30.20	Professional		$8.32	$12.59	$30.20