Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $29.18 / $117.84	Facility		$11.67	$29.18	$117.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $13.49 / $16.76	Professional		$11.67	$13.49	$16.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.06 / $10.48	Professional		$10.06	$10.06	$10.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $133.44 / $318.60	Facility		$133.44	$133.44	$318.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $24.21 / $27.34	Professional		$12.57	$24.21	$27.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $36.81 / $76.80	Facility		$11.71	$36.81	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $17.67 / $24.26	Professional		$9.69	$17.67	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $9.89 / $13.41	Professional		$7.71	$9.89	$13.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $13,785.00 / $13,785.00	Facility		$11.73	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
United Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.22 / $9.22	Facility		$9.22	$9.22	$9.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $10.89 / $21.06	Professional		$7.12	$10.89	$21.06