Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $37.15 / $158.49	Facility		$15.14	$37.15	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $93.33	Professional		$11.22	$13.49	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.91 / $10.47	Professional		$7.41	$8.91	$10.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $173.78 / $316.23	Facility		$87.10	$173.78	$316.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.79 / $27.54	Professional		$11.22	$14.79	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $69.18	Facility		$14.79	$33.11	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.30 / $20.42	Professional		$9.33	$12.30	$20.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $13.18	Professional		$6.03	$7.59	$13.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $10,471.29 / $25,118.86	Facility		$15.14	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.80 / $16.98	Professional		$9.12	$13.80	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $30.90	Facility		$7.08	$15.14	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.47 / $21.38	Professional		$6.76	$10.47	$21.38