Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $69.30 / $315.07	Facility		$15.03	$69.30	$315.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $25.84 / $27.24	Professional		$11.63	$25.84	$27.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.44 / $10.44	Professional		$10.44	$10.44	$10.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $303.48	Facility		$15.30	$15.30	$303.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $23.93 / $31.94	Professional		$11.27	$23.93	$31.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $33.20 / $68.87	Facility		$10.51	$33.20	$68.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.30 / $21.17	Professional		$9.69	$12.30	$21.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $8.86 / $15.03	Professional		$6.91	$8.86	$15.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $13,785.00 / $13,785.00	Facility		$10.52	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.52 / $13.65	Professional		$10.52	$10.52	$13.65
United Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $15.03 / $30.84	Facility		$7.06	$15.03	$30.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $9.02 / $21.00	Professional		$6.01	$9.02	$21.00