Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $70.79 / $213.80	Facility		$19.50	$70.79	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $30.90	Professional		$12.59	$14.79	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $11.75	Professional		$10.23	$10.23	$11.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $263.03 / $354.81	Facility		$39.81	$263.03	$354.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.92 / $48.98	Professional		$12.88	$26.92	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $77.62	Facility		$16.60	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.62 / $25.70	Professional		$11.22	$18.62	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $19.05	Professional		$6.76	$8.51	$19.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $10,471.29 / $25,118.86	Facility		$16.98	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $19.05	Professional		$10.23	$15.49	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.98 / $34.67	Facility		$7.94	$16.98	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.23 / $25.12	Professional		$6.61	$10.23	$25.12