Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $33.88 / $107.15	Facility		$17.78	$33.88	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $20.89	Professional		$12.02	$15.85	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.59	Professional		$10.72	$10.72	$12.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.88 / $75.86	Professional		$13.49	$33.88	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $83.18	Facility		$17.38	$39.81	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $25.70	Professional		$11.75	$15.85	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $20.42	Professional		$7.24	$8.91	$20.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $10,471.29 / $25,118.86	Facility		$17.78	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.60 / $20.42	Professional		$15.85	$16.60	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $17.78 / $37.15	Facility		$8.51	$17.78	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.72 / $25.12	Professional		$6.92	$10.72	$25.12