Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $45.56 / $152.63	Facility		$12.88	$45.56	$152.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $11.60 / $23.02	Professional		$9.97	$11.60	$23.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $7.73 / $8.94	Professional		$6.14	$7.73	$8.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $109.98 / $356.69	Facility		$30.20	$109.98	$356.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $20.23 / $27.37	Professional		$7.08	$20.23	$27.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $28.15 / $59.02	Facility		$9.00	$28.15	$59.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.60 / $18.59	Professional		$8.26	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.60 / $10.30	Professional		$5.92	$7.60	$10.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $13,785.00 / $13,785.00	Facility		$9.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $14.00	Facility		$7.08	$7.08	$14.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.73 / $14.60	Professional		$5.25	$7.73	$14.60