Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $26.30 / $81.28	Facility		$6.76	$26.30	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $42.66	Professional		$5.01	$6.17	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.68	Professional		$4.07	$4.07	$4.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.59 / $12.30	Professional		$5.13	$7.59	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $15.14 / $30.90	Facility		$6.61	$15.14	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.61 / $9.77	Professional		$4.47	$6.61	$9.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.39 / $7.76	Professional		$2.75	$3.39	$7.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10,232.93 / $25,118.86	Facility		$6.76	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.17 / $7.59	Professional		$6.03	$6.17	$7.59
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.76 / $14.13	Facility		$3.24	$6.76	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.07 / $10.00	Professional		$2.75	$4.07	$10.00