Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $22.39 / $91.63	Facility		$5.67	$22.39	$91.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.99 / $12.19	Professional		$5.67	$9.99	$12.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Professional		$8.02	$8.02	$8.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $61.10 / $231.00	Facility		$36.72	$61.10	$231.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $16.78 / $20.95	Professional		$8.66	$16.78	$20.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $25.26 / $52.93	Facility		$8.07	$25.26	$52.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.53 / $15.66	Professional		$7.47	$9.53	$15.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $6.81 / $9.24	Professional		$5.31	$6.81	$9.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $8,702.00 / $13,785.00	Facility		$8.09	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $8.09	Professional		$8.09	$8.09	$8.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $6.75 / $12.47	Professional		$4.04	$6.75	$12.47