Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $30.90 / $98.32	Facility		$15.91	$30.90	$98.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $14.18 / $15.11	Professional		$11.81	$14.18	$15.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $9.55 / $11.04	Professional		$4.76	$9.55	$11.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $128.61 / $1,657.02	Facility		$35.31	$128.61	$1,657.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $25.20 / $33.79	Professional		$11.93	$25.20	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $35.36 / $72.91	Facility		$11.12	$35.36	$72.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $12.93 / $22.72	Professional		$10.17	$12.93	$22.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $9.39 / $13.48	Professional		$7.32	$9.39	$13.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $8,702.00 / $13,785.00	Facility		$11.14	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $14.62	Professional		$11.14	$11.14	$14.62
United Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Facility		$8.75	$8.75	$8.75
United Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $9.55 / $23.57	Professional		$6.71	$9.55	$23.57