Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $18.54 / $90.90	Facility		$7.38	$18.54	$90.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $8.52 / $11.41	Professional		$7.38	$8.52	$11.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $6.63	Professional		$6.30	$6.30	$6.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $75.33 / $163.25	Facility		$20.74	$75.33	$163.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $15.64 / $17.30	Professional		$7.88	$15.64	$17.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $23.10 / $48.11	Facility		$7.33	$23.10	$48.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $9.24 / $14.97	Professional		$6.24	$9.24	$14.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $5.78 / $8.40	Professional		$4.20	$5.78	$8.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $13,785.00 / $13,785.00	Facility		$7.35	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $8.77	Professional		$7.35	$7.35	$8.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.30 / $14.14	Professional		$4.07	$6.30	$14.14