Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $37.15 / $102.33	Facility		$10.00	$37.15	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $17.38	Professional		$7.08	$8.51	$17.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.61 / $18.20	Professional		$5.62	$6.61	$18.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $181.97 / $288.40	Facility		$58.88	$181.97	$288.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.49 / $20.42	Professional		$7.08	$13.49	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $20.89 / $43.65	Facility		$9.33	$20.89	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.33 / $13.49	Professional		$6.17	$9.33	$13.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $10.72	Professional		$3.80	$4.79	$10.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10,471.29 / $25,118.86	Facility		$9.55	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.12 / $10.47	Professional		$8.32	$9.12	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $9.55 / $19.50	Facility		$4.47	$9.55	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.62 / $13.80	Professional		$3.80	$5.62	$13.80