Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $57.83 / $204.33	Facility		$15.73	$57.83	$204.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $17.72 / $18.43	Professional		$15.73	$17.72	$18.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $14.11	Professional		$12.19	$12.19	$14.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Facility		$106.20	$106.20	$106.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $33.35 / $48.43	Professional		$15.24	$33.35	$48.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $44.75 / $93.11	Facility		$14.20	$44.75	$93.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $16.54 / $29.43	Professional		$13.03	$16.54	$29.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.99 / $19.57	Professional		$9.35	$11.99	$19.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $8,702.00 / $13,785.00	Facility		$14.22	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $18.68	Professional		$14.22	$14.22	$18.68
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.19 / $28.39	Professional		$8.52	$12.19	$28.39