Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $44.67 / $134.90	Facility		$15.85	$44.67	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.72 / $21.88	Professional		$7.94	$10.72	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.78 / $53.70	Professional		$9.12	$17.78	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $26.92 / $56.23	Facility		$12.02	$26.92	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.75 / $17.38	Professional		$6.76	$11.75	$17.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.17 / $13.80	Professional		$4.90	$6.17	$13.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $10,471.29 / $25,118.86	Facility		$12.30	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.22 / $13.80	Professional		$10.72	$11.22	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.30 / $25.12	Facility		$5.75	$12.30	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.41 / $17.78	Professional		$4.90	$7.41	$17.78