Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $81.34 / $213.82	Facility		$12.69	$81.34	$213.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.30 / $18.00	Professional		$7.99	$9.30	$18.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $7.17 / $7.17	Professional		$5.16	$7.17	$7.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $152.00 / $1,975.04	Facility		$27.79	$152.00	$1,975.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $16.66 / $19.69	Professional		$7.74	$16.66	$19.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $23.10 / $47.29	Facility		$7.21	$23.10	$47.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $8.48 / $14.97	Professional		$6.67	$8.48	$14.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.09 / $8.26	Professional		$4.75	$6.09	$8.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $8,702.00 / $13,785.00	Facility		$7.22	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $9.91	Professional		$7.22	$7.22	$9.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $6.19 / $14.42	Professional		$4.33	$6.19	$14.42