Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $55.63 / $96.88	Facility		$13.84	$55.63	$96.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $12.05 / $12.54	Professional		$10.27	$12.05	$12.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.30 / $9.61	Professional		$6.59	$8.30	$9.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $102.20 / $102.20	Facility		$102.20	$102.20	$102.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $22.77 / $26.16	Professional		$10.38	$22.77	$26.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $30.31 / $63.42	Facility		$9.67	$30.31	$63.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.24 / $20.13	Professional		$8.90	$11.24	$20.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.17 / $13.84	Professional		$6.37	$8.17	$13.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $13,785.00 / $13,785.00	Facility		$9.69	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $12.72	Professional		$9.69	$9.69	$12.72
United Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $12.46 / $16.61	Facility		$7.61	$12.46	$16.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $8.30 / $15.68	Professional		$5.54	$8.30	$15.68