Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $34.14 / $105.88	Facility		$11.44	$34.14	$105.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.22 / $14.78	Professional		$9.61	$13.22	$14.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $10.27 / $10.27	Professional		$8.86	$10.27	$10.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $23.94 / $26.83	Professional		$11.09	$23.94	$26.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $32.47 / $67.73	Facility		$10.32	$32.47	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.09 / $21.17	Professional		$9.52	$12.09	$21.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.72 / $11.82	Professional		$6.80	$8.72	$11.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $13,785.00 / $13,785.00	Facility		$10.35	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $10.35 / $13.43	Professional		$10.35	$10.35	$13.43
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $8.86 / $20.66	Professional		$5.72	$8.86	$20.66