Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $27.85 / $86.34	Facility		$11.14	$27.85	$86.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $12.85 / $13.67	Professional		$10.79	$12.85	$13.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $9.99	Professional		$9.99	$9.99	$9.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $46.75 / $268.20	Facility		$46.75	$46.75	$268.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $23.52 / $30.57	Professional		$10.79	$23.52	$30.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $31.76 / $65.94	Facility		$10.06	$31.76	$65.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.87 / $20.65	Professional		$9.21	$11.87	$20.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $8.49 / $14.39	Professional		$6.62	$8.49	$14.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $8,702.00 / $13,785.00	Facility		$10.07	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $10.07 / $13.23	Professional		$10.07	$10.07	$13.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.63 / $16.30	Professional		$5.57	$8.63	$16.30