Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $44.69 / $117.00	Facility		$12.09	$44.69	$117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $10.54 / $12.09	Professional		$9.07	$10.54	$12.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $7.25 / $9.27	Professional		$5.76	$7.25	$9.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $150.80 / $1,214.92	Facility		$30.46	$150.80	$1,214.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.60 / $28.81	Professional		$9.07	$9.60	$28.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $26.70 / $55.40	Facility		$8.44	$26.70	$55.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $12.12 / $21.80	Professional		$7.90	$12.12	$21.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.65 / $9.67	Professional		$5.25	$6.65	$9.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $8,702.00 / $13,785.00	Facility		$8.46	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $11.11	Professional		$8.46	$8.46	$11.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.25 / $17.41	Professional		$5.08	$7.25	$17.41