Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $25.12 / $72.44	Facility		$11.75	$25.12	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $14.45	Professional		$8.91	$10.72	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $7.24	Professional		$5.13	$7.24	$7.24
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.50 / $109.65	Professional		$8.91	$19.50	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.92 / $54.95	Facility		$11.75	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.48 / $16.98	Professional		$7.76	$11.48	$16.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $13.49	Professional		$4.79	$6.03	$13.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $10,471.29 / $25,118.86	Facility		$12.02	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $12.30	Professional		$7.24	$10.47	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.02 / $24.55	Facility		$5.62	$12.02	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $16.22	Professional		$4.79	$7.24	$16.22