Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $28.18 / $95.50	Facility		$8.71	$28.18	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.23 / $22.91	Professional		$5.50	$10.23	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.47 / $12.02	Professional		$3.63	$4.47	$12.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $81.28 / $257.04	Facility		$16.98	$81.28	$257.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.47	Professional		$10.00	$10.00	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $18.62 / $39.81	Facility		$8.51	$18.62	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $8.13 / $12.88	Professional		$4.27	$8.13	$12.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.27 / $7.08	Professional		$2.04	$4.27	$7.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $11,481.54 / $25,703.96	Facility		$8.71	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.03 / $7.59	Professional		$5.13	$6.03	$7.59
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $8.71 / $17.78	Facility		$4.07	$8.71	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.50 / $9.55	Professional		$3.63	$5.50	$9.55