Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $19.46 / $77.31	Facility		$9.98	$19.46	$77.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $11.16 / $11.66	Professional		$9.68	$11.16	$11.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $8.96	Professional		$7.74	$7.74	$8.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $136.41 / $1,390.19	Facility		$33.17	$136.41	$1,390.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $20.60 / $23.38	Professional		$9.68	$20.60	$23.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $28.15 / $59.11	Facility		$9.02	$28.15	$59.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.60 / $18.59	Professional		$8.26	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $7.61 / $12.51	Professional		$5.93	$7.61	$12.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $8,702.00 / $13,785.00	Facility		$9.02	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $11.85	Professional		$9.02	$9.02	$11.85
United Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $8.85 / $9.19	Facility		$4.51	$8.85	$9.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.74 / $18.01	Professional		$5.42	$7.74	$18.01