Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $34.78 / $107.87	Facility		$13.91	$34.78	$107.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.05 / $17.98	Professional		$13.35	$16.05	$17.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $10.79 / $12.48	Professional		$9.71	$10.79	$12.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $63.80 / $993.24	Facility		$18.17	$63.80	$993.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.97 / $39.15	Professional		$13.49	$28.97	$39.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $39.70 / $82.39	Facility		$12.57	$39.70	$82.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $18.59 / $32.43	Professional		$11.74	$18.59	$32.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.89 / $13.89	Professional		$7.19	$9.89	$13.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13,785.00 / $13,785.00	Facility		$12.59	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $16.52	Professional		$12.59	$12.59	$16.52
United Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Facility		$9.89	$9.89	$9.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.79 / $20.37	Professional		$7.55	$10.79	$20.37