Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $47.68 / $234.91	Facility		$16.10	$47.68	$234.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $18.01 / $22.89	Professional		$15.45	$18.01	$22.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $12.49 / $14.46	Professional		$9.92	$12.49	$14.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $195.93 / $576.11	Facility		$52.81	$195.93	$576.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $15.61 / $49.61	Professional		$12.80	$15.61	$49.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $46.19 / $95.36	Facility		$14.54	$46.19	$95.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.96 / $29.94	Professional		$13.35	$16.96	$29.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.28 / $20.81	Professional		$9.57	$12.28	$20.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $8,702.00 / $13,785.00	Facility		$14.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $19.98	Professional		$14.57	$14.57	$19.98
United Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $23.00	Facility		$11.45	$11.45	$23.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.49 / $30.83	Professional		$8.74	$12.49	$30.83