Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $43.14 / $114.57	Facility		$9.86	$43.14	$114.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.54 / $9.13	Professional		$6.06	$7.54	$9.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.33 / $6.01	Professional		$4.12	$4.33	$6.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $128.35 / $2,124.00	Facility		$23.51	$128.35	$2,124.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $11.28 / $16.48	Professional		$6.49	$11.28	$16.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $18.77 / $39.64	Facility		$6.05	$18.77	$39.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.61 / $17.54	Professional		$5.62	$8.61	$17.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.09 / $6.92	Professional		$3.98	$5.09	$6.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $13,785.00 / $13,785.00	Facility		$6.06	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.06 / $8.30	Professional		$6.06	$6.06	$8.30
United Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.19 / $12.81	Professional		$3.63	$5.19	$12.81