Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $41.50 / $150.81	Facility		$14.39	$41.50	$150.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $12.56 / $14.39	Professional		$11.14	$12.56	$14.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $8.63 / $9.99	Professional		$4.32	$8.63	$9.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $119.34 / $1,262.16	Facility		$35.32	$119.34	$1,262.16
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $23.52 / $24.23	Professional		$7.91	$23.52	$24.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $31.76 / $65.94	Facility		$10.06	$31.76	$65.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.87 / $20.65	Professional		$9.21	$11.87	$20.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $8.49 / $14.39	Professional		$6.62	$8.49	$14.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $8,702.00 / $13,785.00	Facility		$10.07	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $10.07 / $13.23	Professional		$10.07	$10.07	$13.23
United Facility/Professional Facility Modifier Low / Median / High Price $7.91 / $7.91 / $16.00	Facility		$7.91	$7.91	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.63 / $17.00	Professional		$5.57	$8.63	$17.00