Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $20.89 / $46.77	Facility		$8.71	$20.89	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $20.89	Professional		$5.01	$6.03	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $18.20 / $37.15	Facility		$7.94	$18.20	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.08 / $12.30	Professional		$4.79	$7.08	$12.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.89 / $6.31	Professional		$3.31	$3.89	$6.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10,471.29 / $25,118.86	Facility		$8.13	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.76 / $8.13	Professional		$6.61	$6.76	$8.13
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.13 / $16.98	Facility		$3.89	$8.13	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.90 / $10.72	Professional		$3.31	$4.90	$10.72