Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $29.65 / $203.05	Facility		$11.86	$29.65	$203.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $13.26 / $16.17	Professional		$11.33	$13.26	$16.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $10.64	Professional		$7.30	$7.30	$10.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $268.80 / $268.80 / $268.80	Facility		$268.80	$268.80	$268.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $24.65 / $28.97	Professional		$11.49	$24.65	$28.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $33.92 / $70.20	Facility		$10.70	$33.92	$70.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.51 / $21.68	Professional		$9.85	$12.51	$21.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $9.03 / $14.88	Professional		$7.05	$9.03	$14.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $8,702.00 / $13,785.00	Facility		$10.72	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $14.08	Professional		$10.72	$10.72	$14.08
United Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $10.51 / $10.93	Facility		$5.36	$10.51	$10.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $9.19 / $22.70	Professional		$6.43	$9.19	$22.70