Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $28.13 / $97.04	Facility		$7.65	$28.13	$97.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $8.84 / $8.98	Professional		$7.42	$8.84	$8.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $6.86 / $6.86	Professional		$5.93	$6.86	$6.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Facility		$62.05	$62.05	$62.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $15.56 / $17.93	Professional		$7.42	$15.56	$17.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $21.65 / $45.32	Facility		$6.91	$21.65	$45.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.06 / $14.46	Professional		$6.36	$8.06	$14.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.84 / $9.89	Professional		$4.55	$5.84	$9.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $8,702.00 / $13,785.00	Facility		$6.92	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $9.49	Professional		$6.92	$6.92	$9.49
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $5.93 / $13.81	Professional		$4.15	$5.93	$13.81