Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $49.39 / $103.82	Facility		$13.04	$49.39	$103.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.02 / $15.28	Professional		$12.06	$15.02	$15.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $12.90	Professional		$11.70	$11.70	$12.90
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $143.63 / $3,649.79	Facility		$46.21	$143.63	$3,649.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $25.07 / $42.00	Professional		$12.64	$25.07	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $36.81 / $77.20	Facility		$11.77	$36.81	$77.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $24.26	Professional		$10.80	$13.78	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.27 / $13.48	Professional		$7.75	$9.27	$13.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $13,785.00 / $13,785.00	Facility		$11.80	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $11.80 / $15.48	Professional		$11.80	$11.80	$15.48
United Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $10.11 / $19.09	Professional		$5.90	$10.11	$19.09