Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $40.74 / $120.23	Facility		$16.60	$40.74	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $28.18	Professional		$10.72	$12.88	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.92 / $10.00	Professional		$4.90	$6.92	$10.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $147.91 / $181.97	Facility		$28.84	$147.91	$181.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.99 / $34.67	Professional		$10.96	$23.99	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.62 / $66.07	Facility		$14.13	$31.62	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $22.39	Professional		$9.55	$14.45	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $14.45	Professional		$5.75	$7.24	$14.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $10,471.29 / $25,118.86	Facility		$14.45	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $16.22	Professional		$12.88	$13.49	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $14.45 / $30.20	Facility		$6.92	$14.45	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.71 / $21.38	Professional		$5.75	$8.71	$21.38