Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $80.30 / $196.49	Facility		$15.08	$80.30	$196.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.54 / $19.52	Professional		$12.17	$16.54	$19.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $14.36 / $14.36	Professional		$13.78	$14.36	$14.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $147.00 / $154.66	Professional		$147.00	$147.00	$154.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $29.06 / $68.27	Facility		$16.05	$29.06	$68.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $25.20 / $33.04	Professional		$12.17	$25.20	$33.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.63 / $13.92	Professional		$9.19	$12.63	$13.92
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 $16.53 / $16.53 / $18.38	Professional		$16.53	$16.53	$18.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $13.78 / $23.54	Professional		$8.89	$13.78	$23.54