Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $25.99 / $106.93	Facility		$13.33	$25.99	$106.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.47 / $17.64	Professional		$13.24	$15.47	$17.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $12.03	Professional		$10.59	$10.59	$12.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $27.32 / $31.42	Professional		$13.24	$27.32	$31.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $38.97 / $80.88	Facility		$12.33	$38.97	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.21 / $25.81	Professional		$11.12	$14.21	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.41 / $14.12	Professional		$8.11	$10.41	$14.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $13,785.00 / $13,785.00	Facility		$12.36	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $12.36 / $12.36	Professional		$12.36	$12.36	$12.36
United Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $9.71 / $19.00	Facility		$9.71	$9.71	$19.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $10.59 / $24.20	Professional		$6.83	$10.59	$24.20