Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $31.45 / $139.44	Facility		$12.58	$31.45	$139.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $14.17 / $17.16	Professional		$10.57	$14.17	$17.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $9.76 / $11.29	Professional		$9.76	$9.76	$11.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $26.89 / $29.48	Professional		$12.20	$26.89	$29.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $36.09 / $74.51	Facility		$11.36	$36.09	$74.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.36 / $23.23	Professional		$10.49	$13.36	$23.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $9.59 / $16.26	Professional		$7.48	$9.59	$16.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $13,785.00 / $13,785.00	Facility		$11.38	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.38 / $14.94	Professional		$11.38	$11.38	$14.94
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.76 / $24.08	Professional		$6.83	$9.76	$24.08