Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $47.64 / $126.02	Facility		$11.85	$47.64	$126.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $10.59 / $10.76	Professional		$7.70	$10.59	$10.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $7.11 / $8.23	Professional		$5.65	$7.11	$8.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $91.82 / $1,993.37	Facility		$21.13	$91.82	$1,993.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $18.48 / $22.42	Professional		$8.89	$18.48	$22.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $25.98 / $54.30	Facility		$8.27	$25.98	$54.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.75 / $17.04	Professional		$7.63	$9.75	$17.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $6.99 / $9.52	Professional		$5.45	$6.99	$9.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $13,785.00 / $13,785.00	Facility		$8.30	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $10.89	Professional		$8.30	$8.30	$10.89
United Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $6.52 / $6.52	Facility		$6.52	$6.52	$6.52
United Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $7.11 / $17.07	Professional		$4.98	$7.11	$17.07