Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $37.17 / $96.97	Facility		$9.42	$37.17	$96.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $19.80 / $20.62	Professional		$7.83	$19.80	$20.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.53	Professional		$7.23	$7.23	$7.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $39.15 / $1,219.20	Facility		$11.16	$39.15	$1,219.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $57.33 / $61.59	Professional		$8.65	$57.33	$61.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $15.25 / $36.09	Facility		$8.06	$15.25	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $12.65 / $17.04	Professional		$6.11	$12.65	$17.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.63 / $7.23	Professional		$4.82	$6.63	$7.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $8.44 / $8,702.00	Facility		$8.44	$8.44	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $10.56	Professional		$9.22	$9.22	$10.56
United Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $6.92 / $12.45	Professional		$4.67	$6.92	$12.45