Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $31.18 / $126.79	Facility		$14.37	$31.18	$126.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $19.45 / $23.04	Professional		$14.37	$19.45	$23.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Professional		$16.94	$16.94	$16.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $96.18 / $96.18	Professional		$96.18	$96.18	$96.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $59.90 / $124.23	Facility		$26.50	$59.90	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $15.18 / $39.24	Professional		$13.01	$15.18	$39.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $13.56 / $16.27	Professional		$10.61	$13.56	$16.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $21.69	Professional		$17.62	$17.62	$21.69
United Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $14.91 / $27.00	Facility		$14.91	$14.91	$27.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $16.27 / $27.79	Professional		$10.50	$16.27	$27.79