Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $27.88 / $86.44	Facility		$11.15	$27.88	$86.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.84 / $14.41	Professional		$9.49	$12.84	$14.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $10.01 / $10.01	Professional		$10.01	$10.01	$10.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $46.75 / $46.75	Facility		$46.75	$46.75	$46.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $23.12 / $30.61	Professional		$10.81	$23.12	$30.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $31.76 / $66.03	Facility		$10.07	$31.76	$66.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.87 / $21.17	Professional		$9.21	$11.87	$21.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $8.50 / $14.26	Professional		$6.63	$8.50	$14.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $1,165.00 / $13,785.00	Facility		$10.09	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $13.24	Professional		$10.09	$10.09	$13.24
United Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $7.93 / $7.93	Facility		$7.93	$7.93	$7.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $8.65 / $16.32	Professional		$5.58	$8.65	$16.32