Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $20.43 / $83.28	Facility		$8.16	$20.43	$83.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $11.78 / $16.22	Professional		$8.17	$11.78	$16.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $23.80 / $29.75	Facility		$23.80	$23.80	$29.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $20.53 / $28.73	Professional		$10.14	$20.53	$28.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $29.59 / $61.95	Facility		$9.44	$29.59	$61.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.03 / $19.62	Professional		$8.74	$11.03	$19.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $7.98 / $15.26	Professional		$6.22	$7.98	$15.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $13,785.00 / $13,785.00	Facility		$9.46	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $9.71	Professional		$9.46	$9.46	$9.71
United Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $9.27 / $9.64	Facility		$4.73	$9.27	$9.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $8.11 / $15.32	Professional		$5.30	$8.11	$15.32