Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $19.57 / $129.10	Facility		$15.92	$19.57	$129.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $14.24 / $17.41	Professional		$13.09	$14.24	$17.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $8.60 / $11.04	Professional		$7.58	$8.60	$11.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $27.12 / $31.07	Facility		$12.11	$27.12	$31.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $22.50 / $152.25	Professional		$11.94	$22.50	$152.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $35.36 / $72.95	Facility		$11.13	$35.36	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $12.93 / $25.14	Professional		$10.17	$12.93	$25.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.76 / $16.39	Professional		$6.37	$8.76	$16.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $13,785.00 / $13,785.00	Facility		$11.14	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $14.62	Professional		$11.14	$11.14	$14.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $11.14 / $23.62	Professional		$6.77	$11.14	$23.62