Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $25.12 / $91.20	Facility		$7.41	$25.12	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $12.59	Professional		$4.79	$5.75	$12.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.89 / $4.47	Professional		$3.31	$3.89	$4.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $144.54	Facility		$61.66	$100.00	$144.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $10.72 / $11.75	Professional		$4.90	$10.72	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $14.45 / $29.51	Facility		$6.31	$14.45	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $7.76 / $10.72	Professional		$4.27	$7.76	$10.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.24 / $7.24	Professional		$2.57	$3.24	$7.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10,471.29 / $25,118.86	Facility		$6.46	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.03 / $7.24	Professional		$5.75	$6.03	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.46 / $13.49	Facility		$3.02	$6.46	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.89 / $9.55	Professional		$2.57	$3.89	$9.55