Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $68.70 / $164.30	Facility		$21.41	$68.70	$164.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $19.17 / $19.41	Professional		$16.57	$19.17	$19.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $12.85	Professional		$12.85	$12.85	$12.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $34.61 / $51.03	Professional		$16.05	$34.61	$51.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $46.91 / $98.11	Facility		$14.96	$46.91	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.60 / $30.46	Professional		$13.82	$17.60	$30.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.63 / $17.13	Professional		$9.85	$12.63	$17.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $13,785.00 / $13,785.00	Facility		$14.99	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $19.68	Professional		$14.99	$14.99	$19.68
United Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Facility		$11.78	$11.78	$11.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.85 / $29.92	Professional		$8.99	$12.85	$29.92