Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $67.54 / $234.00	Facility		$18.42	$67.54	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.39 / $20.07	Professional		$11.76	$14.39	$20.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $8.40 / $11.67	Professional		$5.04	$8.40	$11.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $208.12 / $1,789.25	Facility		$45.66	$208.12	$1,789.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $23.18 / $36.36	Professional		$9.24	$23.18	$36.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $36.81 / $76.98	Facility		$11.74	$36.81	$76.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $19.41 / $36.61	Professional		$10.98	$19.41	$36.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.24 / $13.44	Professional		$3.50	$9.24	$13.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $13,785.00 / $13,785.00	Facility		$11.76	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $16.14	Professional		$11.76	$11.76	$16.14
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $23.47	Professional		$7.06	$10.08	$23.47