Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $100.00	Facility		$13.18	$26.30	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $22.91	Professional		$10.00	$11.75	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.94 / $9.12	Professional		$6.61	$7.94	$9.12
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $97.72 / $165.96	Facility		$13.49	$97.72	$165.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $63.10	Professional		$10.00	$20.89	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.84 / $60.26	Facility		$12.88	$28.84	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.88 / $19.95	Professional		$8.71	$12.88	$19.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.61 / $14.79	Professional		$5.25	$6.61	$14.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $10,471.29 / $25,118.86	Facility		$13.18	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.02 / $14.79	Professional		$11.48	$12.02	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $13.18 / $26.92	Facility		$6.17	$13.18	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $19.05	Professional		$5.25	$7.94	$19.05