Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $34.67 / $120.23	Facility		$14.13	$34.67	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $23.99	Professional		$8.91	$11.22	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.78 / $48.98	Professional		$9.33	$17.78	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $27.54 / $56.23	Facility		$12.02	$27.54	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $17.38	Professional		$7.59	$10.23	$17.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $14.13	Professional		$5.01	$6.17	$14.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $10,232.93 / $25,118.86	Facility		$12.30	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.48 / $13.80	Professional		$10.96	$11.48	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.30 / $25.70	Facility		$5.75	$12.30	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $18.20	Professional		$5.01	$7.41	$18.20