Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $43.14 / $123.84	Facility		$11.77	$43.14	$123.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $10.25 / $11.18	Professional		$8.74	$10.25	$11.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.06 / $8.18	Professional		$5.89	$7.06	$8.18
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $110.63 / $1,277.63	Facility		$26.90	$110.63	$1,277.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.83 / $25.00	Professional		$8.25	$8.83	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $25.98 / $53.93	Facility		$8.22	$25.98	$53.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.53 / $16.52	Professional		$7.63	$9.53	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $6.94 / $10.19	Professional		$5.41	$6.94	$10.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $8,702.00 / $13,785.00	Facility		$8.24	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $10.82	Professional		$8.24	$8.24	$10.82
United Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $6.47 / $6.47	Facility		$6.47	$6.47	$6.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $7.06 / $16.96	Professional		$4.71	$7.06	$16.96