Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $39.47 / $109.43	Facility		$8.09	$39.47	$109.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.05 / $8.09	Professional		$5.99	$7.05	$8.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $4.84 / $6.21	Professional		$3.86	$4.84	$6.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $92.65 / $1,128.68	Facility		$20.63	$92.65	$1,128.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $12.52 / $15.44	Professional		$6.07	$12.52	$15.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $18.04 / $37.07	Facility		$5.65	$18.04	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $8.08 / $14.89	Professional		$5.28	$8.08	$14.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.76 / $8.09	Professional		$3.72	$4.76	$8.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $13,785.00 / $13,785.00	Facility		$5.66	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $5.66	Professional		$5.66	$5.66	$5.66
United Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $4.45 / $9.00	Facility		$4.45	$4.45	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.84 / $11.66	Professional		$3.40	$4.84	$11.66