Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $30.33 / $114.53	Facility		$13.24	$30.33	$114.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $11.84 / $15.84	Professional		$10.33	$11.84	$15.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.95 / $9.19	Professional		$6.31	$7.95	$9.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $69.30 / $928.57	Facility		$19.02	$69.30	$928.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $28.13 / $47.81	Professional		$7.28	$28.13	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $28.87 / $60.67	Facility		$9.25	$28.87	$60.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $14.53 / $19.39	Professional		$8.42	$14.53	$19.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $7.81 / $12.76	Professional		$6.09	$7.81	$12.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $8,702.00 / $13,785.00	Facility		$9.27	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $12.71	Professional		$9.27	$9.27	$12.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $7.28 / $15.00	Facility		$7.28	$7.28	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $15.00	Professional		$5.25	$7.94	$15.00