Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $125.28 / $809.30	Facility		$10.44	$125.28	$809.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $68.09 / $177.06	Professional		$9.02	$68.09	$177.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.63	Professional		$3.13	$3.13	$3.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $44.47 / $6,101.70	Facility		$11.99	$44.47	$6,101.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $8.41 / $12.44	Professional		$3.92	$8.41	$12.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $11.55 / $23.92	Facility		$3.65	$11.55	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $5.39 / $9.58	Professional		$3.41	$5.39	$9.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.08 / $4.18	Professional		$2.40	$3.08	$4.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $8,702.00 / $13,785.00	Facility		$3.65	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.65 / $5.01	Professional		$3.65	$3.65	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.13 / $7.30	Professional		$2.09	$3.13	$7.30