Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $28.18 / $77.62	Facility		$10.47	$28.18	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.76 / $17.38	Professional		$6.03	$7.76	$17.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $28.84 / $165.96	Facility		$26.30	$28.84	$165.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $14.45 / $19.05	Professional		$6.61	$14.45	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.50 / $40.74	Facility		$8.71	$19.50	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.91 / $13.49	Professional		$5.75	$8.91	$13.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.90 / $10.00	Professional		$3.55	$4.90	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10,232.93 / $25,118.86	Facility		$8.91	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.13 / $8.51	Professional		$6.17	$8.13	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $8.91 / $18.20	Facility		$4.17	$8.91	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.37 / $12.88	Professional		$3.55	$5.37	$12.88