Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $60.26 / $257.04	Facility		$23.99	$60.26	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $30.90	Professional		$16.98	$19.95	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $15.49	Professional		$11.75	$13.49	$15.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $37.15 / $53.70	Professional		$16.60	$37.15	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $102.33	Facility		$24.55	$48.98	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $42.66	Professional		$14.45	$27.54	$42.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $25.12	Professional		$8.91	$11.22	$25.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $10,471.29 / $25,118.86	Facility		$22.39	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $22.39 / $45.71	Facility		$10.47	$22.39	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $33.11	Professional		$8.91	$13.49	$33.11