Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $19.50 / $95.50	Facility		$9.55	$19.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $30.90	Professional		$6.31	$7.76	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.03	Professional		$5.89	$5.89	$6.03
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $138.04	Facility		$69.18	$69.18	$138.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.41 / $16.22	Professional		$7.24	$7.41	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.88 / $44.67	Facility		$9.55	$21.88	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.13 / $15.14	Professional		$5.50	$8.13	$15.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.90 / $9.55	Professional		$3.89	$4.90	$9.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10,471.29 / $25,118.86	Facility		$9.77	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.13 / $9.55	Professional		$7.76	$8.13	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $9.77 / $19.95	Facility		$4.57	$9.77	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.89 / $12.30	Professional		$3.89	$5.89	$12.30