Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $36.15 / $211.30	Facility		$8.64	$36.15	$211.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $9.65 / $10.00	Professional		$8.25	$9.65	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $108.00 / $1,133.28	Facility		$26.24	$108.00	$1,133.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $18.55	Professional		$8.36	$8.36	$18.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $24.54 / $51.14	Facility		$7.79	$24.54	$51.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $9.11 / $16.52	Professional		$7.15	$9.11	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.14 / $8.93	Professional		$5.13	$6.14	$8.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.81 / $8,702.00 / $13,785.00	Facility		$7.81	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $7.81 / $10.26	Professional		$7.81	$7.81	$10.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.70 / $15.60	Professional		$4.69	$6.70	$15.60