Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $125.89	Facility		$19.95	$38.90	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $33.11	Professional		$15.14	$18.20	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.72 / $12.59	Professional		$9.77	$10.72	$12.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $245.47	Facility		$100.00	$100.00	$245.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $43.65 / $91.20	Facility		$22.91	$43.65	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $44.67	Professional		$14.79	$23.44	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $38.02	Professional		$14.13	$22.91	$38.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $10,471.29 / $25,118.86	Facility		$19.95	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.95 / $40.74	Facility		$9.33	$19.95	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.02 / $29.51	Professional		$8.32	$12.02	$29.51