Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $42.66 / $123.03	Facility		$9.55	$42.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.72	Professional		$6.03	$7.08	$10.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.01 / $8.13	Professional		$4.27	$5.01	$8.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $162.18	Facility		$63.10	$100.00	$162.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.59 / $15.49	Professional		$6.03	$12.59	$15.49
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 / $8.13 / $12.30	Professional		$5.25	$8.13	$12.30
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 / $9,549.93 / $25,118.86	Facility		$8.13	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.41 / $9.12	Professional		$4.79	$7.41	$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