Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $39.81 / $186.21	Facility		$18.20	$39.81	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $30.90 / $245.47	Professional		$4.37	$30.90	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $12.88	Professional		$8.91	$10.00	$12.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $2.45 / $10.96	Facility		$0.66	$2.45	$10.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.28	Professional		$0.23	$0.23	$0.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.12 / $1.82	Facility		$0.11	$0.12	$1.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.14	Professional		$0.11	$0.12	$0.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $10,715.19 / $25,118.86	Facility		$0.47	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.36 / $0.37	Facility		$0.20	$0.36	$0.37
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.13	Professional		$0.11	$0.12	$0.13