Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $29.12 / $86.00	Facility		$11.39	$29.12	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $9.85 / $10.33	Professional		$8.53	$9.85	$10.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $6.83 / $7.91	Professional		$5.43	$6.83	$7.91
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $99.90 / $537.00	Facility		$21.94	$99.90	$537.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $18.03 / $20.65	Professional		$8.53	$18.03	$20.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $25.26 / $52.19	Facility		$7.96	$25.26	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.33 / $15.45	Professional		$7.31	$9.33	$15.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $6.72 / $9.11	Professional		$5.24	$6.72	$9.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $13,785.00 / $13,785.00	Facility		$7.97	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $7.97	Professional		$7.97	$7.97	$7.97
United Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $6.83 / $15.91	Professional		$4.55	$6.83	$15.91