Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $38.22 / $82.14	Facility		$11.43	$38.22	$82.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.18 / $10.38	Professional		$8.44	$10.18	$10.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.86 / $8.76	Professional		$5.72	$6.86	$8.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $98.60 / $848.89	Facility		$28.19	$98.60	$848.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $18.84 / $20.73	Professional		$8.57	$18.84	$20.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.99 / $25.26 / $52.38	Facility		$7.99	$25.26	$52.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.33 / $16.52	Professional		$7.31	$9.33	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $6.74 / $11.43	Professional		$5.26	$6.74	$11.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $13,785.00 / $13,785.00	Facility		$8.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $10.39	Professional		$8.00	$8.00	$10.39
United Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.29 / $13.00	Facility		$6.29	$6.29	$13.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $6.86 / $15.98	Professional		$4.43	$6.86	$15.98