Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $42.88 / $126.68	Facility		$11.67	$42.88	$126.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $12.95 / $15.91	Professional		$10.56	$12.95	$15.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.05 / $10.47	Professional		$7.18	$9.05	$10.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $293.76 / $293.76 / $293.76	Facility		$293.76	$293.76	$293.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $24.90 / $35.92	Professional		$11.31	$24.90	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $33.20 / $69.09	Facility		$10.54	$33.20	$69.09
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 $6.94 / $8.90 / $12.06	Professional		$6.94	$8.90	$12.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $13,785.00 / $13,785.00	Facility		$10.56	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $10.56 / $13.86	Professional		$10.56	$10.56	$13.86
United Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $15.08 / $30.95	Facility		$7.09	$15.08	$30.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $9.05 / $21.06	Professional		$6.33	$9.05	$21.06