Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $20.60 / $107.52	Facility		$9.92	$20.60	$107.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $10.30 / $15.79	Professional		$9.93	$10.30	$15.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $9.53 / $9.53	Professional		$9.53	$9.53	$9.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $94.49 / $94.49	Professional		$94.49	$94.49	$94.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $30.31 / $62.92	Facility		$10.40	$30.31	$62.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.56 / $15.97	Professional		$8.26	$10.56	$15.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $8.10 / $10.98	Professional		$6.32	$8.10	$10.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $13,785.00 / $13,785.00	Facility		$9.61	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $12.62	Professional		$9.61	$9.61	$12.62
United Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $7.55 / $7.55	Facility		$7.55	$7.55	$7.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $8.24 / $19.20	Professional		$5.49	$8.24	$19.20