Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $42.85 / $199.48	Facility		$11.65	$42.85	$199.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $15.89 / $26.08	Professional		$11.29	$15.89	$26.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $91.82 / $3,979.81	Facility		$21.13	$91.82	$3,979.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.29 / $22.65	Professional		$11.29	$11.29	$22.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $33.20 / $68.95	Facility		$10.52	$33.20	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.30 / $21.68	Professional		$9.69	$12.30	$21.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $8.27 / $12.04	Professional		$6.02	$8.27	$12.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $8,702.00 / $13,785.00	Facility		$10.54	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.84	Professional		$10.54	$10.54	$13.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $9.02 / $21.03	Professional		$6.32	$9.02	$21.03