Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.05 / $77.62	Facility		$12.59	$19.05	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $37.15	Professional		$7.94	$12.02	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.94 / $16.98	Professional		$5.37	$7.94	$16.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $27.54 / $57.54	Facility		$12.30	$27.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.13 / $19.05	Professional		$7.08	$14.13	$19.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $7.41	Professional		$5.01	$5.89	$7.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $10,715.19 / $25,118.86	Facility		$12.59	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.00 / $12.02	Professional		$7.59	$10.00	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $12.59 / $25.70	Facility		$5.89	$12.59	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $14.79	Professional		$5.01	$7.59	$14.79