Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $36.70 / $186.20	Facility		$14.68	$36.70	$186.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.54 / $17.21	Professional		$14.03	$16.54	$17.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.38 / $13.18	Professional		$11.38	$11.38	$13.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $30.42 / $34.40	Professional		$14.23	$30.42	$34.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $41.86 / $86.93	Facility		$13.25	$41.86	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $15.48 / $27.36	Professional		$12.23	$15.48	$27.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $11.19 / $18.97	Professional		$8.73	$11.19	$18.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13,785.00 / $13,785.00	Facility		$13.28	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $17.23	Professional		$13.28	$13.28	$17.23
United Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $10.43 / $21.00	Facility		$10.43	$10.43	$21.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.38 / $26.51	Professional		$7.59	$11.38	$26.51