Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $26.41 / $90.97	Facility		$8.97	$26.41	$90.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.11 / $10.53	Professional		$8.71	$10.11	$10.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $6.97 / $8.06	Professional		$6.97	$6.97	$8.06
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $123.52 / $1,697.78	Facility		$30.03	$123.52	$1,697.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.02 / $21.03	Professional		$8.71	$19.02	$21.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $25.26 / $53.20	Facility		$8.11	$25.26	$53.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.53 / $16.52	Professional		$7.47	$9.53	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $6.85 / $11.61	Professional		$5.34	$6.85	$11.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $13,785.00 / $13,785.00	Facility		$8.13	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.67	Professional		$8.13	$8.13	$10.67
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.97 / $16.20	Professional		$4.63	$6.97	$16.20