Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $21.30 / $299.76	Facility		$8.52	$21.30	$299.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.46 / $10.88	Professional		$8.52	$10.46	$10.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.64 / $8.64	Professional		$8.28	$8.64	$8.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $103.16 / $562.45	Facility		$26.62	$103.16	$562.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $25.75	Professional		$19.30	$19.30	$25.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $30.31 / $63.33	Facility		$9.66	$30.31	$63.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.75 / $20.13	Professional		$7.63	$9.75	$20.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.15 / $13.55	Professional		$6.36	$8.15	$13.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $13,785.00 / $13,785.00	Facility		$9.67	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $9.67	Professional		$9.67	$9.67	$9.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $8.28 / $14.93	Professional		$5.35	$8.28	$14.93