Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $54.14 / $100.29	Facility		$12.60	$54.14	$100.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.93 / $17.64	Professional		$12.60	$14.93	$17.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $11.61	Professional		$10.02	$10.02	$11.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $27.71 / $27.71	Professional		$27.71	$27.71	$27.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $36.81 / $76.56	Facility		$11.68	$36.81	$76.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $24.26	Professional		$10.80	$13.78	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.86 / $16.71	Professional		$7.69	$9.86	$16.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $13,785.00 / $13,785.00	Facility		$11.70	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $15.63	Professional		$11.70	$11.70	$15.63
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.02 / $23.45	Professional		$7.02	$10.02	$23.45