Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.02 / $151.36	Facility		$12.02	$38.02	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $33.11	Professional		$7.08	$10.96	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.59	Professional		$3.98	$3.98	$7.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
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 / $9,332.54 / $25,703.96	Facility		$12.02	$9,332.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $10.72	Professional		$7.24	$9.55	$10.72
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