Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $28.97 / $121.51	Facility		$6.34	$28.97	$121.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $7.31 / $9.01	Professional		$6.14	$7.31	$9.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.91 / $5.69	Professional		$4.09	$4.91	$5.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $13.43 / $14.84	Professional		$4.50	$13.43	$14.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $18.04 / $37.53	Facility		$5.72	$18.04	$37.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $8.99 / $12.78	Professional		$5.24	$8.99	$12.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $4.83 / $6.55	Professional		$3.77	$4.83	$6.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $8,702.00 / $13,785.00	Facility		$5.73	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.91 / $11.44	Professional		$3.44	$4.91	$11.44