Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $26.40 / $82.22	Facility		$8.91	$26.40	$82.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.28 / $10.46	Professional		$8.52	$10.28	$10.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $5.77 / $8.01	Professional		$3.46	$5.77	$8.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $63.75	Facility		$45.00	$45.00	$63.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $19.02 / $24.74	Professional		$8.65	$19.02	$24.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $25.26 / $52.83	Facility		$8.06	$25.26	$52.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.53 / $16.52	Professional		$7.47	$9.53	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.80 / $10.19	Professional		$5.30	$6.80	$10.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8,702.00 / $13,785.00	Facility		$8.07	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $11.07	Professional		$8.07	$8.07	$11.07
United Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $6.34	Facility		$6.34	$6.34	$6.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.92 / $14.01	Professional		$4.84	$6.92	$14.01