Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $48.68 / $108.61	Facility		$12.58	$48.68	$108.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.26 / $13.84	Professional		$9.44	$11.26	$13.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.55 / $8.73	Professional		$5.99	$7.55	$8.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $130.99 / $1,188.27	Facility		$37.31	$130.99	$1,188.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $20.48 / $22.81	Professional		$9.44	$20.48	$22.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $27.43 / $57.65	Facility		$8.78	$27.43	$57.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $10.39 / $18.07	Professional		$8.10	$10.39	$18.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $7.42 / $12.58	Professional		$5.79	$7.42	$12.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $8,702.00 / $13,785.00	Facility		$8.81	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $8.81 / $11.56	Professional		$8.81	$8.81	$11.56
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Facility		$6.92	$6.92	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.55 / $18.63	Professional		$5.28	$7.55	$18.63