Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $40.74 / $199.53	Facility		$13.49	$40.74	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $12.02	Professional		$7.08	$8.91	$12.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $7.08	Professional		$6.17	$6.17	$7.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $85.11	Facility		$26.92	$26.92	$85.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.49 / $48.98	Professional		$7.59	$15.49	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $22.39 / $46.77	Facility		$10.00	$22.39	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.00 / $15.49	Professional		$6.61	$10.00	$15.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $11.48	Professional		$4.07	$5.13	$11.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10,471.29 / $25,118.86	Facility		$10.23	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.33 / $11.48	Professional		$8.91	$9.33	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10.23 / $20.89	Facility		$4.79	$10.23	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.17 / $15.14	Professional		$4.07	$6.17	$15.14