Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $37.15 / $117.49	Facility		$16.98	$37.15	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $25.70	Professional		$12.02	$15.14	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.23 / $11.75	Professional		$10.00	$10.23	$11.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $123.03	Facility		$85.11	$89.13	$123.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $25.12 / $41.69	Professional		$12.59	$25.12	$41.69
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 $10.96 / $16.22 / $25.70	Professional		$10.96	$16.22	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $19.05	Professional		$6.76	$8.13	$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 $14.79 / $15.49 / $18.62	Professional		$14.79	$15.49	$18.62
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 $6.46 / $10.00 / $24.55	Professional		$6.46	$10.00	$24.55