Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.11 / $114.82	Facility		$13.80	$33.11	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $16.60	Professional		$8.91	$10.96	$16.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $8.32	Professional		$6.03	$7.24	$8.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $151.36 / $457.09	Facility		$47.86	$151.36	$457.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.95 / $25.70	Professional		$9.12	$19.95	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.92 / $54.95	Facility		$11.75	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.48 / $18.62	Professional		$7.94	$11.48	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $13.49	Professional		$4.79	$6.61	$13.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $9,549.93 / $25,118.86	Facility		$12.02	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.96 / $13.49	Professional		$10.72	$10.96	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.02 / $24.55	Facility		$5.62	$12.02	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $17.78	Professional		$4.79	$7.24	$17.78