Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $28.18 / $67.61	Facility		$10.00	$28.18	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $10.96	Professional		$7.08	$8.71	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.49 / $17.78	Professional		$7.41	$15.49	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.88 / $45.71	Facility		$9.55	$21.88	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.55 / $14.45	Professional		$6.46	$9.55	$14.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.90 / $11.22	Professional		$3.98	$4.90	$11.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10,471.29 / $25,118.86	Facility		$10.00	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.12 / $10.96	Professional		$8.71	$9.12	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $10.00 / $20.42	Facility		$4.68	$10.00	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.89 / $14.45	Professional		$3.98	$5.89	$14.45