Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $28.93 / $101.39	Facility		$12.95	$28.93	$101.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.29 / $12.95	Professional		$10.10	$11.29	$12.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $8.99	Professional		$7.77	$7.77	$8.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $31.68 / $125.10 / $464.83	Facility		$31.68	$125.10	$464.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $21.62 / $30.86	Professional		$9.71	$21.62	$30.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $28.87 / $59.34	Facility		$9.05	$28.87	$59.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.60 / $18.59	Professional		$8.26	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $7.12 / $10.36	Professional		$5.18	$7.12	$10.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $8,702.00 / $13,785.00	Facility		$9.07	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $12.43	Professional		$9.07	$9.07	$12.43
United Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $7.77 / $18.09	Professional		$5.18	$7.77	$18.09