Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $39.81 / $112.20	Facility		$13.80	$39.81	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $18.20	Professional		$10.00	$11.48	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.92 / $8.91	Professional		$4.37	$6.92	$8.91
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $125.89 / $562.34	Facility		$38.02	$125.89	$562.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $21.38 / $30.90	Professional		$9.77	$21.38	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.84 / $58.88	Facility		$12.59	$28.84	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $18.62	Professional		$8.51	$10.72	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $14.45	Professional		$5.13	$6.46	$14.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $9,772.37 / $25,118.86	Facility		$12.88	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.02 / $14.45	Professional		$11.48	$12.02	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.88 / $26.30	Facility		$6.03	$12.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $19.05	Professional		$5.13	$7.76	$19.05