Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $34.67 / $107.15	Facility		$10.00	$34.67	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $12.30	Professional		$6.03	$7.24	$12.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.62 / $5.62	Professional		$3.47	$5.62	$5.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $100.00 / $316.23	Facility		$45.71	$100.00	$316.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.76 / $17.38	Professional		$6.03	$7.76	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $18.20 / $37.15	Facility		$7.94	$18.20	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.55 / $12.88	Professional		$5.25	$9.55	$12.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.07 / $9.12	Professional		$3.24	$4.07	$9.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10,232.93 / $25,118.86	Facility		$8.13	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.76 / $9.12	Professional		$7.08	$7.76	$9.12
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $8.13 / $16.60	Facility		$3.80	$8.13	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.79 / $11.75	Professional		$3.24	$4.79	$11.75