Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.88 / $151.36	Facility		$19.95	$33.88	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.95 / $45.71	Professional		$10.47	$19.95	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $15.85	Professional		$15.14	$15.85	$15.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $60.26 / $64.57	Professional		$19.05	$60.26	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $56.23 / $56.23	Facility		$25.12	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.51 / $38.90	Professional		$13.49	$29.51	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $15.49	Professional		$10.23	$12.59	$15.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $9,549.93 / $25,118.86	Facility		$25.70	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $22.39	Professional		$15.14	$20.42	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $52.48	Facility		$12.02	$25.70	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $27.54	Professional		$10.23	$15.14	$27.54