Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.00 / $165.00	Facility		$10.00	$25.00	$165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.56 / $13.63	Professional		$9.69	$11.56	$13.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $8.97	Professional		$7.75	$7.75	$8.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $21.38 / $23.42	Professional		$9.69	$21.38	$23.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $28.15 / $59.20	Facility		$9.02	$28.15	$59.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.60 / $18.59	Professional		$8.26	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $7.11 / $10.34	Professional		$5.17	$7.11	$10.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $4,207.00 / $13,785.00	Facility		$9.03	$4,207.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $9.03 / $12.40	Professional		$9.03	$9.03	$12.40
United Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $7.75 / $19.14	Professional		$5.43	$7.75	$19.14