Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.18 / $213.80	Facility		$12.02	$28.18	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $13.18	Professional		$7.76	$10.72	$13.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $30.20 / $70.79	Professional		$9.12	$30.20	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.92 / $26.92	Facility		$11.75	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.49 / $18.62	Professional		$6.46	$13.49	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $7.24	Professional		$4.79	$6.03	$7.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $10,471.29 / $25,703.96	Facility		$12.02	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $11.48	Professional		$7.24	$9.55	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.02 / $24.55	Facility		$5.62	$12.02	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $12.30	Professional		$4.79	$7.24	$12.30