Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $31.90 / $95.87	Facility		$9.02	$31.90	$95.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.86 / $9.02	Professional		$6.31	$7.86	$9.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $5.41 / $6.26	Professional		$2.71	$5.41	$6.26
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $126.42 / $1,410.00	Facility		$23.99	$126.42	$1,410.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $12.45 / $16.35	Professional		$4.96	$12.45	$16.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $20.21 / $41.33	Facility		$6.30	$20.21	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.16 / $18.61	Professional		$5.89	$9.16	$18.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $5.32 / $9.00	Professional		$4.15	$5.32	$9.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $8,702.00 / $13,785.00	Facility		$6.31	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $8.28	Professional		$6.31	$6.31	$8.28
United Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $4.96 / $4.96	Facility		$4.96	$4.96	$4.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $5.41 / $13.36	Professional		$3.79	$5.41	$13.36