Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $21.30 / $151.36	Facility		$8.52	$21.30	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.52 / $10.46	Professional		$6.92	$8.52	$10.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $6.23	Professional		$5.77	$5.77	$6.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $130.50 / $130.50	Professional		$130.50	$130.50	$130.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $25.26 / $52.83	Facility		$8.06	$25.26	$52.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.53 / $16.52	Professional		$7.47	$9.53	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.34 / $9.22	Professional		$5.25	$6.34	$9.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8,702.00 / $13,785.00	Facility		$8.07	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $10.11	Professional		$8.07	$8.07	$10.11
United Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $6.34	Facility		$6.34	$6.34	$6.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $6.92 / $16.12	Professional		$4.61	$6.92	$16.12