Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $42.18 / $118.00	Facility		$11.99	$42.18	$118.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $15.13 / $28.02	Professional		$13.47	$15.13	$28.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.65 / $13.18	Professional		$12.65	$12.65	$13.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $25.15 / $28.11	Professional		$15.82	$25.15	$28.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $46.19 / $96.64	Facility		$14.74	$46.19	$96.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.07 / $24.37	Professional		$10.11	$12.07	$24.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.44 / $16.87	Professional		$9.69	$12.44	$16.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $13,785.00 / $13,785.00	Facility		$14.76	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $14.76 / $14.76	Professional		$14.07	$14.76	$14.76
United Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $11.60	Facility		$11.60	$11.60	$11.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $11.96 / $22.78	Professional		$7.77	$11.96	$22.78