Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $74.81 / $256.63	Facility		$15.35	$74.81	$256.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $8.92 / $11.77	Professional		$6.74	$8.92	$11.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $7.48 / $7.79	Professional		$6.24	$7.48	$7.79
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $117.60 / $204.62	Facility		$33.06	$117.60	$204.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $15.57 / $17.85	Professional		$9.35	$15.57	$17.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $27.43 / $57.14	Facility		$8.71	$27.43	$57.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $8.06 / $18.07	Professional		$6.43	$8.06	$18.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $7.36 / $9.98	Professional		$5.74	$7.36	$9.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $6,950.00 / $13,785.00	Facility		$8.73	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.73 / $8.73	Professional		$8.36	$8.73	$8.73
United Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Facility		$6.86	$6.86	$6.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $7.48 / $13.04	Professional		$4.99	$7.48	$13.04